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将抑郁绝望理论中的“易感性”和“压力”成分付诸实践:一项多波纵向研究。

Operationalizing the "vulnerability" and "stress" components of the hopelessness theory of depression: a multi-wave longitudinal study.

作者信息

Abela John R Z, Aydin Cristina, Auerbach Randy P

机构信息

Department of Psychology, McGill University, Stewart Biological Sciences Building, 1205 Dr. Penfield Avenue, Montreal, Quebec, Canada H3A 1B1.

出版信息

Behav Res Ther. 2006 Nov;44(11):1565-83. doi: 10.1016/j.brat.2005.11.010. Epub 2006 Feb 3.

Abstract

The current study tested of the diathesis-stress component of the hopelessness theory (HT) using (1) a "weakest link" approach towards operationalizing vulnerability (e.g., an individual is as vulnerable to depression as his/her most depressogenic inferential style-DIS) and (2) an idiographic approach towards operationalizing high levels of stress. The procedure involved an initial assessment during which participants completed measures assessing DISs and depressive symptoms. The procedure also involved a series of eight follow-up assessments, occurring every 6 weeks, during which depressive symptoms and hassles were assessed. Hypotheses were tested in two samples of adults (i.e., adults diagnosed with a current MDE and adults diagnosed with a past MDE at Time 1). In line with hypotheses, in both samples, depressogenic weakest links were associated with greater elevations in depressive symptoms following elevations in hassles. At the same time, equally strong support was obtained for the HT when stress was operationalized from a nomothetic perspective and when vulnerability was operationalized as a DIS about causes (but not consequences or self).

摘要

当前的研究使用以下两种方法对绝望理论(HT)的素质-应激成分进行了测试:(1)一种对易感性进行操作化的“最薄弱环节”方法(例如,一个人对抑郁的易感性与其最具抑郁性的推理风格——DIS一样),以及(2)一种对高水平应激进行操作化的个性化方法。该程序包括一次初始评估,在此期间参与者完成评估DIS和抑郁症状的测量。该程序还包括一系列每6周进行一次的八次随访评估,在此期间评估抑郁症状和烦恼。在两个成人样本(即当前被诊断为患有重度抑郁发作的成年人和在时间1被诊断为过去曾患重度抑郁发作的成年人)中对假设进行了检验。与假设一致,在两个样本中,抑郁性最薄弱环节与烦恼增加后抑郁症状的更大升高相关。与此同时,当从一般规律的角度对应激进行操作化,以及当将易感性操作化为关于原因(而非后果或自我)的DIS时,对绝望理论也获得了同样有力的支持。

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