Beevers Christopher G, Rohde Paul, Stice Eric, Nolen-Hoeksema Susan
Department of Psychology, University of Texas at Austin, Austin, TX 78712, USA.
J Consult Clin Psychol. 2007 Dec;75(6):888-900. doi: 10.1037/0022-006X.75.6.888.
This study examined the psychosocial consequences of experiencing major depressive disorder (MDD). In a 7-year longitudinal study of 496 female adolescents, the authors identified 49 girls who experienced their first episode of MDD and then recovered. They were compared with a randomly selected group of 98 never depressed participants on 13 psychological, social, psychiatric, and life events variables. None of the variables fit the scar pattern (i.e., a group difference that emerges during the first MDD episode and remains elevated post-recovery). All 13 variables were elevated before, during, and after the MDD episode, although some increased during the MDD episode. Results provide little support for the scar hypothesis among adolescent girls but instead suggest that many risk variables are elevated before and after the MDD episode. Interventions that modify these factors may help to reduce depression incidence and recurrence among female adolescents.
本研究调查了患有重度抑郁症（MDD）的心理社会后果。在一项对496名女性青少年进行的为期7年的纵向研究中，作者确定了49名首次经历MDD发作然后康复的女孩。将她们与随机选择的98名从未患过抑郁症的参与者在13个心理、社会、精神和生活事件变量上进行比较。没有一个变量符合疤痕模式（即，在首次MDD发作期间出现且在康复后仍保持升高的组间差异）。所有13个变量在MDD发作前、发作期间和发作后均有所升高，尽管有些变量在MDD发作期间有所增加。研究结果几乎没有为少女中的疤痕假说提供支持，反而表明许多风险变量在MDD发作前后均有所升高。改变这些因素的干预措施可能有助于降低女性青少年抑郁症的发病率和复发率。
