Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Anxiety Stress Coping. 2010 Jul;23(4):431-47. doi: 10.1080/10615800903406543.
We employed a five-month longitudinal study to test a model in which the association between anxiety and depression symptoms is mediated by peer relations difficulties among a sample of 91 adolescents ages 14-17 (M=15.5, SD=.61) years. Adolescents completed measures of anxiety symptoms, depression symptoms, peer group experiences (i.e., peer acceptance and victimization from peers), and friendship quality (i.e., positive qualities and conflict). As hypothesized, Time 1 anxiety symptoms predicted Time 2 (T2) depression symptoms, and this association was mediated by T2 low perceived peer acceptance and T2 victimization from peers, both of which emerged as unique mediators when they were considered simultaneously in the model. Contrary to expectations, qualities of adolescents' best friendships at T2 did not emerge as mediators and were largely unrelated to symptoms of anxiety and depression. Implications of the findings include the importance of addressing peer relations difficulties, especially peer acceptance and victimization, in the treatment of anxiety and the prevention of depression among anxious youth.
我们采用了一项为期五个月的纵向研究，以检验这样一个模型：在一个 91 名 14-17 岁（M=15.5，SD=.61）青少年样本中，焦虑和抑郁症状之间的关联是由同伴关系困难所中介的。青少年完成了焦虑症状、抑郁症状、同伴群体经历（即同伴接纳和同伴受害）以及友谊质量（即积极品质和冲突）的测量。正如假设的那样，T1 焦虑症状预测了 T2（T2）抑郁症状，这种关联是由 T2 低感知到的同伴接纳和 T2 同伴受害所中介的，当同时考虑到模型中时，这两者都是独特的中介。与预期相反，青少年在 T2 时的最佳友谊质量并没有成为中介因素，并且与焦虑和抑郁症状关系不大。研究结果的意义包括在治疗焦虑症和预防焦虑青少年抑郁时，解决同伴关系困难（尤其是同伴接纳和同伴受害）的重要性。
