Harkness Kate L, Lumley Margaret N, Truss Alanna E
Department of Psychology, Queen's University, Kingston, ON, K7L 3N6, Canada.
J Abnorm Child Psychol. 2008 Apr;36(3):421-32. doi: 10.1007/s10802-007-9188-2. Epub 2007 Dec 19.
The present study examined the role of childhood abuse and neglect and depression recurrence in moderating the generation of stressful life events in adolescent depression. Maltreatment history and stressful life events were assessed using two rigorous contextual interviews and rating systems. In a sample of 59 community depressed adolescents we found significantly higher rates of interpersonal events in the 3-month period immediately following depression episode onset versus the 3-month period immediately preceding onset in adolescents with a history of childhood maltreatment. By contrast, rates of events remained constant over a matched period in a control group of non-maltreated adolescents. Furthermore, the generation of interpersonal events only held among those on a first onset of depression. These results suggest that a history of childhood abuse and neglect exacerbates the psychosocial dysfunction associated with the onset of depression, particularly in the very first episode.
本研究探讨了童年期虐待和忽视以及抑郁复发在调节青少年抑郁症应激性生活事件产生中的作用。使用两种严格的情境访谈和评分系统评估虐待史和应激性生活事件。在59名社区抑郁症青少年样本中，我们发现，有童年期虐待史的青少年在抑郁发作后立即出现的3个月期间人际事件发生率显著高于发作前3个月。相比之下，在未受虐待青少年的对照组中，同期事件发生率保持稳定。此外，人际事件的产生仅发生在首次发作抑郁症的人群中。这些结果表明，童年期虐待和忽视史会加剧与抑郁症发作相关的心理社会功能障碍，尤其是在首次发作时。
