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儿童在高和低抑郁障碍家族风险中的积极和消极情绪的发展轨迹。

Developmental trajectories of positive and negative affect in children at high and low familial risk for depressive disorder.

机构信息

University of Pittsburgh School of Medicine Department of Psychiatry, Pittsburgh, PA, USA.

出版信息

J Child Psychol Psychiatry. 2011 Jul;52(7):792-9. doi: 10.1111/j.1469-7610.2010.02331.x. Epub 2010 Oct 6.

Abstract

BACKGROUND

Although low positive affect (PA) and high negative affect (NA) have been posited to predispose to depressive disorders, little is known about the developmental trajectories of these affects in children at familial risk for mood disorders.

METHODS

We examined 202 offspring of mothers who had a history of juvenile-onset unipolar depressive disorder (n = 60) or no history of major psychopathology (n = 80). Offspring participated in up to seven annual, structured laboratory tasks that were designed to elicit PA and NA.

RESULTS

Growth curve analyses revealed that PA increased linearly and similarly for all children from late infancy through age 9. However, there also were individual differences in early PA. Relative to control peers, offspring of mothers with lifetime unipolar depression had consistently lower levels of PA, and this association remained significant even when controlling for current maternal depression and maternal affect displays. Growth curve analyses also revealed a significant linear decrease in NA in children across time; however, there was no significant inter-individual variation either in early NA or rate of change in NA.

CONCLUSION

Attenuated PA (rather than excessive NA) may be an early vulnerability factor for eventual unipolar depressive disorder in at-risk children and may represent one pathway through which depression is transmitted.

摘要

背景

虽然低正性情绪(PA)和高负性情绪(NA)被认为易导致抑郁障碍,但对于情绪障碍家族高危儿童的这些情绪的发展轨迹知之甚少。

方法

我们对 202 名母亲有青少年首发单相抑郁障碍病史的后代(n=60)或无重大精神病理学病史的后代(n=80)进行了研究。后代参加了多达 7 次年度、结构化的实验室任务,旨在诱发正性情绪和负性情绪。

结果

增长曲线分析显示,从婴儿后期到 9 岁,所有儿童的 PA 呈线性增加且相似。然而,早期 PA 也存在个体差异。与对照组同龄人相比,有母亲一生单相抑郁障碍病史的后代的 PA 水平一直较低,即使在控制当前母亲抑郁和母亲情绪表现的情况下,这种关联仍然显著。增长曲线分析还显示,儿童的 NA 随时间呈显著线性下降;然而,无论是早期的 NA 还是 NA 的变化率,都没有显著的个体差异。

结论

PA 减弱(而不是 NA 过多)可能是高危儿童最终出现单相抑郁障碍的早期脆弱因素,可能是抑郁传递的一种途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a609/3419431/3b847444017a/nihms396178f1.jpg

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