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观察到的母亲对青少年行为的反应可预测重度抑郁症的发作。

Observed maternal responses to adolescent behaviour predict the onset of major depression.

机构信息

Department of Psychological Sciences, University of Melbourne, Victoria, Australia.

出版信息

Behav Res Ther. 2011 May;49(5):331-8. doi: 10.1016/j.brat.2011.02.008. Epub 2011 Mar 9.

Abstract

Two mechanisms have been proposed regarding relations between parental responses to adolescent affective behaviours and the development of depression: the elicitation of parental negativity and the suppression of parental aggression. This study aimed to investigate the boundary conditions under which these two mechanisms operate in relation to the prospective prediction of Major Depressive Disorder (MDD) onset in adolescence. A community sample of 159 adolescents (aged 11-13 years) with no history of MDD completed a family interaction assessment with their mothers, and were followed-up with a diagnostic interview 2-3 years later. Results showed that onset of MDD was prospectively predicted by the elicitation of maternal aggression in response to adolescent aggression (in girls only) and maternal dysphoria in response to adolescent aggression, as well as the suppression of maternal aggression and dysphoria in response to adolescent dysphoria. Thus, support was obtained for both the elicitation of negativity mechanism in relation to maternal responses to adolescents' aggressive behaviours, and the suppression of aggression mechanisms in relation to maternal responses to adolescents' dysphoric behaviours. Mothers' responses to adolescents' aggressive and dysphoric behaviours may differentially influence the risk of MDD onset for adolescents over time.

摘要

有两种机制被提出来解释父母对青少年情感行为的反应与抑郁发展之间的关系

父母消极情绪的诱发和父母攻击的抑制。本研究旨在探讨这两种机制在青少年时期发生的主要抑郁障碍(MDD)发病的前瞻性预测中的作用边界条件。一个没有 MDD 病史的 159 名青少年(年龄在 11-13 岁之间)的社区样本与他们的母亲一起完成了一项家庭互动评估,并在 2-3 年后进行了诊断访谈。结果表明,MDD 的发病是由母亲对青少年攻击的攻击性反应(仅在女孩中)和母亲对青少年攻击的烦躁情绪反应,以及母亲对青少年烦躁情绪的攻击性和烦躁情绪反应的抑制来前瞻性预测的。因此,这两种机制都得到了支持:一种是与母亲对青少年攻击行为的反应有关的消极情绪诱发机制,另一种是与母亲对青少年烦躁情绪的反应有关的攻击抑制机制。母亲对青少年攻击和烦躁行为的反应可能会随着时间的推移对青少年 MDD 发病的风险产生不同的影响。

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