School of Psychology, Psychiatry, and Psychological Medicine, Monash University, Melbourne, Victoria, Australia.
Br J Dev Psychol. 2009 Jun;27(Pt 2):473-85. doi: 10.1348/026151008x314900.
Given that depression is a debilitating disorder, it is critical that we advance our understanding about the aetiology of this disorder. This study investigated both traditional (temperament and parenting) and novel (emotion regulation strategy) risk factors associated with adolescent depression. Forty-four adolescents (12-16 years; 64% females) with high scores on a self-report depressive symptomatology questionnaire were compared to a similar group of 44 adolescents with low scores, matched for age, gender, and ethnicity. Significant group differences were present on all assessed risk factors. The presence of high depressive symptomatology was found to be associated with (1) low levels of temperamentally based positive mood, flexibility, and approach behaviours, (2) a parenting style characterized by low nurturance and high overprotection, and (3) emotion regulation characterized by higher levels of expressive suppression and lower levels of cognitive reappraisal. It was concluded that, in addition to specific temperament characteristics and parenting style, use of particular emotion regulation strategies is associated with varying levels of depressive symptomatology. These findings reinforce the importance of incorporating emotion regulation into explanatory models of depression symptomatology. Further research that tests the direction of effects for these cross-sectional findings is warranted.
鉴于抑郁症是一种使人衰弱的疾病,我们必须深入了解这种疾病的病因。本研究调查了与青少年抑郁症相关的传统(气质和养育方式)和新型(情绪调节策略)风险因素。将 44 名(年龄为 12-16 岁,女性占 64%)自我报告有较高抑郁症状问卷得分的青少年与得分较低的类似 44 名青少年进行比较,两组青少年在年龄、性别和种族上相匹配。在所有评估的风险因素上,两组之间都存在显著差异。研究发现,高抑郁症状与(1)基于气质的积极情绪、灵活性和接近行为水平低,(2)养育方式的特点是养育不足和过度保护程度高,以及(3)情绪调节策略的特点是表达抑制水平高和认知重评水平低有关。因此,除了特定的气质特征和养育方式外,使用特定的情绪调节策略与不同程度的抑郁症状有关。这些发现强调了将情绪调节纳入抑郁症状的解释模型的重要性。需要进一步的研究来检验这些横断面研究结果的因果关系。