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西北大学-加州大学洛杉矶分校青少年情绪项目:认知脆弱性、神经质和性别与青少年情绪障碍既往诊断的关联。

The Northwestern-UCLA youth emotion project: Associations of cognitive vulnerabilities, neuroticism and gender with past diagnoses of emotional disorders in adolescents.

机构信息

Northwestern University, Department of Psychology, Evanston, IL 60208, USA.

出版信息

Behav Res Ther. 2010 May;48(5):347-58. doi: 10.1016/j.brat.2009.12.008. Epub 2009 Dec 23.

Abstract

Neuroticism has been hypothesized to be a non-specific risk factor for both anxiety and unipolar mood disorders whereas some cognitive and personality-cognitive vulnerabilities have been hypothesized to be more specific to depression. Using a retrospective design with a sample of 575 high school juniors, we tested three competing models of the associations among these variables. Both neuroticism and the cognitive and personality-cognitive vulnerabilities had significant zero-order associations with rates of past diagnoses of both anxiety and unipolar mood disorders. Neuroticism had significant unique associations with past anxiety disorders and comorbid anxiety and unipolar mood disorders whereas the other vulnerabilities did not. In addition, gender interacted with neuroticism but not with the other vulnerabilities in associating with past diagnoses of mood disorders, showing that neuroticism is more highly associated with past unipolar mood diagnoses in males than in females. Finally, the cognitive and personality-cognitive vulnerabilities overlapped with substantial portions of the variance that neuroticism shared with diagnoses. These results suggest that, at least for retrospective associations with past anxiety and unipolar mood disorders, the cognitive and other personality-cognitive vulnerabilities are non-specific facets of neuroticism.

摘要

神经质被假设为焦虑和单相心境障碍的非特异性风险因素,而一些认知和人格认知脆弱性被假设为更特定于抑郁。本研究采用回顾性设计,样本为 575 名高中三年级学生,我们测试了这三个变量之间关联的三个竞争模型。神经质以及认知和人格认知脆弱性与过去焦虑和单相心境障碍的诊断率均有显著的零阶关联。神经质与过去的焦虑障碍以及合并的焦虑和单相心境障碍有显著的独特关联,而其他脆弱性则没有。此外,性别与神经质相互作用,但与其他脆弱性在与心境障碍的过去诊断无关,表明神经质与男性而非女性过去的单相心境障碍诊断更相关。最后,认知和人格认知脆弱性与神经质与诊断相关的大部分方差重叠。这些结果表明,至少对于过去与焦虑和单相心境障碍的回顾性关联,认知和其他人格认知脆弱性是神经质的非特异性方面。

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