Lewinsohn Peter M, Rohde Paul, Gau Jeffrey M
Oregon Research Institute, Eugene 97403-1983, USA.
Psychol Rep. 2003 Oct;93(2):459-71. doi: 10.2466/pr0.2003.93.2.459.
The purpose of this study was to evaluate the incremental value of conducting an interview to assess stressful life events over the self-report questionnaire approach, first by examining the degree to which life events reported on a questionnaire met inclusion criteria in a detailed stress interview, and second, by comparing the magnitude of prospective associations with depression symptoms for the two different assessment procedures. Data from the Oregon Adolescent Depression Project were examined, in which 191 community-residing young adults (55% female; M age=23.6, SD=0.6) completed a mailed questionnaire assessing the frequency with which 33 life events had occurred to them or to other important people in their lives prior to the diagnostic and stress interviews. An average of 67.5% of events occurring to self met criteria for classification as a life event on the stress interview, as did 19.7% of the events occurring to others. Events having a large effect on the participant had a greater likelihood of meeting inclusion criteria on the stress interview. Contrary to expectation, stress scores from the interview assessment did not result in stronger associations with depression. Recommendations for assessment of stressful life events are offered.
本研究的目的是评估通过访谈来评估应激性生活事件相对于自我报告问卷法的增量价值，首先通过检查问卷中报告的生活事件在详细的应激访谈中符合纳入标准的程度，其次通过比较两种不同评估程序与抑郁症状的前瞻性关联程度。对俄勒冈青少年抑郁项目的数据进行了检查，在该项目中，191名居住在社区的年轻人（55%为女性；平均年龄=23.6，标准差=0.6）完成了一份邮寄问卷，评估了在诊断和应激访谈之前33种生活事件在他们自己或他们生活中其他重要人物身上发生的频率。在应激访谈中，平均67.5%发生在自己身上的事件符合生活事件分类标准，发生在他人身上的事件有19.7%符合标准。对参与者有较大影响的事件在应激访谈中更有可能符合纳入标准。与预期相反，访谈评估的应激分数并未与抑郁产生更强的关联。文中对应激性生活事件的评估提出了建议。
