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轻度智力残疾成年人的抑郁症:压力、归因及应对方式的作用

Depression in adults with mild intellectual disability: role of stress, attributions, and coping.

作者信息

Hartley Sigan L, Maclean William E

机构信息

University of Wyoming, USA.

出版信息

Am J Intellect Dev Disabil. 2009 May;114(3):147-60. doi: 10.1352/1944-7588-114.3.147.

DOI:10.1352/1944-7588-114.3.147
PMID:19374469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2831402/
Abstract

The experience of stressful social interactions, negative causal attributions, and the use of maladaptive coping efforts help maintain depression over time in the general population. We investigated whether a similar experience occurs among adults with mild intellectual disability. We compared the frequency and stress impact of such interactions, identified causal attributions for these interactions, and determined the coping strategies of 47 depressed and 47 nondepressed adults with mild intellectual disability matched on subject characteristics. The depressed group reported a higher frequency and stress impact of stressful social interactions, more negative attribution style, and more avoidant and less active coping strategies did than the nondepressed group. Findings have implications for theory building and development of psychotherapies to treat depression.

摘要

在普通人群中,压力性社交互动的经历、消极的因果归因以及适应不良应对方式的使用会随着时间的推移助长抑郁情绪。我们调查了轻度智力残疾的成年人中是否也会出现类似情况。我们比较了这类互动的频率和压力影响,确定了这些互动的因果归因,并确定了47名患有抑郁症的轻度智力残疾成年人和47名在受试者特征上匹配的非抑郁成年人的应对策略。与非抑郁组相比,抑郁组报告的压力性社交互动频率更高、压力影响更大、归因方式更消极,且更多采用回避型应对策略,积极应对策略更少。这些发现对抑郁症治疗的理论构建和心理治疗发展具有启示意义。

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