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创伤后的抑郁症状:自尊是一个中介因素吗?

Depressive symptoms after trauma: is self-esteem a mediating factor?

作者信息

David Melissa, Ceschi Grazia, Billieux Joël, Van der Linden Martial

机构信息

Cognitive Psychopathology and Neuropsychology Unit, University of Geneva, Geneva, Switzerland.

出版信息

J Nerv Ment Dis. 2008 Oct;196(10):735-42. doi: 10.1097/NMD.0b013e3181879dd8.

Abstract

Traumatic events have predicted depressive symptoms. Despite this consensus, it remains unclear as to whether the relationship between trauma and depression is consistently mediated by a negative cognitive schema, such as low self-esteem, or whether trauma influences mood independently of low self-esteem. This study tested these relationships while considering depressive symptom types. One hundred thirty-two students reported the number of traumatic events experienced and self-esteem and depression levels. Results indicated 2 depressive symptom types: "cognitive-affective" and "somatic." Structural Equation Modeling tested an unmediated path from trauma to depressive symptoms and a path mediated by self-esteem. Results supported the unmediated relationship between trauma and "cognitive-affective" depressive symptoms, and did not support mediation by self-esteem. Findings are discussed in view of a dimensional rather than categorical approach to depression, and in consideration of alternative symptom clusters resulting from trauma in addition to those captured by posttraumatic stress disorder.

摘要

创伤性事件已被证明可预测抑郁症状。尽管存在这一共识,但创伤与抑郁之间的关系是否始终由消极认知模式(如低自尊)介导,或者创伤是否独立于低自尊影响情绪,仍不清楚。本研究在考虑抑郁症状类型的同时测试了这些关系。132名学生报告了经历的创伤性事件数量、自尊水平和抑郁水平。结果表明存在两种抑郁症状类型:“认知-情感型”和“躯体型”。结构方程模型测试了从创伤到抑郁症状的无中介路径以及由自尊介导的路径。结果支持创伤与“认知-情感型”抑郁症状之间的无中介关系,且不支持自尊的中介作用。鉴于对抑郁采用维度而非分类的方法,并考虑到除创伤后应激障碍所涵盖的症状群之外,创伤导致的其他替代症状群,对研究结果进行了讨论。

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