The depression distress amplification model in adolescents: A longitudinal examination of anxiety sensitivity cognitive concerns, depression and suicidal ideation

The depression distress amplification model in adolescents: A longitudinal examination of anxiety sensitivity cognitive concerns, depression and suicidal ideation
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DOI:
10.1016/j.adolescence.2015.02.001
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发表时间:
2015-06-01
影响因子:
3.8
通讯作者:
Schmidt, Norman B.
Schmidt, Norman B.
中科院分区:
心理学2区
文献类型:
--
作者:
Capron, Daniel W.;Allan, Nicholas P.;Schmidt, Norman B.

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患有焦虑和抑郁共病的青少年自杀风险显著增加。最近提出的抑郁痛苦放大模型似乎有希望解释焦虑,抑郁和自杀之间的关系,但它还没有在青少年中进行测试。参与者是524名青少年,随访时间超过两年。本报告的基线数据是由受过训练的采访者在青少年八年级时收集的。当青少年在十年级时,以同样的方式获得数据。基线焦虑敏感性认知问题显着预测自杀意念两年后,超过基线自杀意念和抑郁症。此外,与抑郁症痛苦放大模型一致,焦虑敏感性认知问题与抑郁症状相互作用来预测自杀念头。本报告扩展了焦虑敏感性、认知关注和自杀倾向之间关系的实证和理论支持。(C)2015年成立青少年服务专业人员基金会。由Elsevier Ltd.出版。保留所有权利。
Adolescents with comorbid anxiety and depression are at significantly increased risk of suicide. The recently proposed depression distress amplification model appears to have promise for explaining the relations between anxiety, depression, and suicidality, but it has not been tested in adolescents. Participants were 524 adolescents followed over two years. Baseline data for the current report were collected by trained interviewers while the adolescents were in eighth grade. Data were obtained in the same manner when the adolescents were in tenth grade. Baseline anxiety sensitivity cognitive concerns significantly predicted suicidal ideation two years later, above and beyond baseline suicidal ideation and depression. Further, consistent with the depression distress amplification model, anxiety sensitivity cognitive concerns interacted with depressive symptoms to predict suicidal ideation. This report extends the empirical and theoretical support for a relationship between anxiety sensitivity cognitive concerns and suicidality. (C) 2015 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.