Abela John R Z, McGirr Alexander
Department of Psychology, McGill University, montreal, Quebec, Canada.
Br J Clin Psychol. 2007 Nov;46(Pt 4):377-95. doi: 10.1348/014466507X192023.
The current study tested the diathesis-stress component of the hopelessness theory (HT) in a sample of youth using (1) a weakest link approach towards operationalizing cognitive vulnerability (e.g. a child's degree of vulnerability is determined by his/her most depressogenic inferential style; DIS) and (2) an idiographic approach towards operationalizing high stress (e.g. high stress is when a child is experiencing a level of stress that is higher than his/her own average level of stress). We also examined whether the association between within-subject fluctuations in hassles and depressive symptoms in cognitively vulnerable youth was moderated by absolute stress levels (the between-subject effect of stress).
A multi-wave longitudinal design was used to examine whether the association between within-subject fluctuations in hassles and depressive symptoms was moderated by a depressogenic weakest link.
At Time 1, 140 children (between 6 and 14 years of age) of parents with a history of major depressive episodes completed measures assessing DISs and depressive symptoms. Every 6 weeks, for the subsequent year, children completed measures assessing depressive symptoms and hassles.
The results of hierarchical linear modelling analyses indicated that a depressogenic weakest link was associated with greater elevations in depressive symptoms following elevations in hassles in girls but not in boys.
Results provide partial support for the applicability of the diathesis-stress component of the HT to youth. Integration of the current findings with those obtained in past research examining the diathesis-stress component of the hopelessness theory in youth suggests the utilization of an idiographic approach to examining vulnerability-stress theories may potentially lead to an increased understanding of gender differences in depression.
本研究在青少年样本中检验绝望理论(HT)的素质-应激成分,采用(1)一种“最薄弱环节”方法来操作化认知易感性(例如,儿童的易感性程度由其最具抑郁诱发作用的推理风格决定;抑郁诱发推理风格),以及(2)一种个性化方法来操作化高应激(例如,当儿童经历的应激水平高于其自身平均应激水平时即为高应激)。我们还考察了在认知易感性青少年中,日常烦恼的个体内波动与抑郁症状之间的关联是否受到绝对应激水平(应激的个体间效应)的调节。
采用多波纵向设计,以检验日常烦恼的个体内波动与抑郁症状之间的关联是否受到抑郁诱发最薄弱环节的调节。
在时间1,140名父母有重度抑郁发作史的儿童(6至14岁)完成了评估抑郁诱发推理风格和抑郁症状的测量。在随后的一年里,孩子们每6周完成一次评估抑郁症状和日常烦恼的测量。
分层线性模型分析结果表明,抑郁诱发最薄弱环节与女孩在日常烦恼增加后抑郁症状的更大升高有关,而与男孩无关。
研究结果为绝望理论的素质-应激成分适用于青少年提供了部分支持。将当前研究结果与过去研究中关于青少年绝望理论素质-应激成分的研究结果相结合表明,采用个性化方法来检验易感性-应激理论可能会增进对抑郁症性别差异的理解。