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了解既往抑郁症对压力产生的影响:审视当前抑郁症状和人际行为的作用。

Understanding the impact of prior depression on stress generation: examining the roles of current depressive symptoms and interpersonal behaviours.

作者信息

Shih Josephine H, Eberhart Nicole K

机构信息

Department of Psychology, Saint Joseph's University, Philadelphia, PA 19131, USA.

出版信息

Br J Psychol. 2008 Aug;99(Pt 3):413-26. doi: 10.1348/000712607X243341. Epub 2007 Sep 29.

DOI:10.1348/000712607X243341
PMID:17908367
Abstract

Stress generation is a process in which individuals contribute to stressful life events. While research has supported an association between current depression and stress generation, it has been noted that individuals with prior depression tend to contribute to stressors even when they are no longer experiencing a depressive episode. The aim of the study is to elucidate the pathways through which prior major depression predicts interpersonal stress generation in women. Specifically, we examined current subsyndromal depressive symptoms and problematic interpersonal behaviours as potential mediators. Fifty-one college women were followed prospectively for 6 weeks. Participants were interviewed to assess current and past depression as well as stressful life events they experienced over the 6-week period. The findings suggest that prior major depression continues to have an impact even after the episode has ended, as the disorder continues to contribute to stress generation through residual depressive symptoms.

摘要

压力产生是一个个体促成压力性生活事件的过程。虽然研究支持当前的抑郁与压力产生之间存在关联,但有人指出,既往有过抑郁症的个体即使在不再经历抑郁发作时,也往往会促成压力源的产生。该研究的目的是阐明既往重度抑郁症预测女性人际压力产生的途径。具体而言,我们考察了当前的亚综合征抑郁症状和有问题的人际行为作为潜在的中介因素。51名大学女生被前瞻性地跟踪了6周。对参与者进行访谈,以评估其当前和过去的抑郁情况以及她们在这6周内经历的压力性生活事件。研究结果表明,既往重度抑郁症即使在发作结束后仍会产生影响,因为该疾病会通过残留的抑郁症状继续促成压力的产生。

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