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向成年期过渡阶段的重度抑郁症:当前及既往抑郁症对青年成人功能的影响。

Major depression in the transition to adulthood: the impact of active and past depression on young adult functioning.

作者信息

Paradis Angela D, Reinherz Helen Z, Giaconia Rose M, Fitzmaurice Garrett

机构信息

Simmons Longitudinal Study, Simmons College School of Social Work, Boston, Massachusetts 02115, USA.

出版信息

J Nerv Ment Dis. 2006 May;194(5):318-23. doi: 10.1097/01.nmd.0000217807.56978.5b.

Abstract

This study examined the association between active and past major depression and deficits in young adult functioning using data from a longitudinal community study (N = 354). Three groups were compared: (1) participants with a 1-year diagnosis of major depression at age 26 (active group); (2) those who experienced major depression during the transition to adulthood, ages 18-25, but did not have active depression at age 26 (past group); and (3) individuals not meeting diagnostic criteria for depression during the transition period. Results highlight serious deficits in psychosocial functioning at age 26 linked to both active and past depression. Although participants with active depression experienced the greatest number of problems, those with past depression evidenced similar deficits across many important domains of functioning. The significant impairments characterizing those with past depression indicate the need for continued monitoring to decrease the risk of recurrence and the establishment of a chronic course of illness.

摘要

本研究利用一项纵向社区研究的数据(N = 354),考察了年轻成年人当前及既往重度抑郁症与功能缺陷之间的关联。研究比较了三组人群:(1)26岁时被诊断为重度抑郁症达1年的参与者(当前组);(2)在18 - 25岁成年过渡期间经历过重度抑郁症,但26岁时无当前抑郁症的人群(既往组);以及(3)在过渡期间未达到抑郁症诊断标准的个体。结果凸显了26岁时与当前及既往抑郁症相关的心理社会功能严重缺陷。虽然当前患有抑郁症的参与者经历的问题最多,但既往患有抑郁症的参与者在许多重要功能领域也表现出类似的缺陷。既往患有抑郁症者的显著损害表明需要持续监测,以降低复发风险并预防慢性病程的发生。

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