Bréjard V, Pasquier A, Bonnet A, Pedinielli J-L
UFR psychologie sciences de l'éducation, laboratoire PsyCLE (EA 3273), Aix-Marseille universités, 29, avenue Robert-Schuman, 13621 Aix-en-Provence cedex 1, France.
Encephale. 2011 Sep;37(4):257-65. doi: 10.1016/j.encep.2010.12.003. Epub 2011 Feb 8.
Relationships between risk-taking behavior and depressive disorders in young people are considered as a complex psychopathological problem. Previous findings showed strong correlations between substance abuse, risk-taking behavior and depressive symptoms. Nevertheless, questions remain concerning potential common factors of depression and risk-taking behavior. Besides research focusing on personality dimensions, some others highlight the role played by emotions and their pathological aspects. In these studies, pathological emotional processing such as alexithymia or specific deficit in emotional intensity was linked to both risk-taking behavior and depressive disorders. The aim of this study was to investigate potential specific emotional profiles of adolescents engaged in pathological risk-taking or depressive symptomatology, versus adolescents presenting an association of both.
Four hundred and eigty-eight adolescents (m(age)=14,93, SD=1,44), with 257 boys (m(age)=15, SD=1,51) and 231 girls (m(age)=14,52, SD=1,23), were spread into four groups: adolescents engaged in high level risk-taking, adolescents showing both high risk-taking and high depressive symptoms, depressed adolescents, and a control group without any pathological aspects. The four groups completed a set of three assessments: Youth Risk Behavior Surveillance Scale (YRBSS), Level of Emotional Awareness Scale (LEAS) and Differential Emotional Scale (DES).
Adolescents engaged in risk-taking have the lowest level of emotional awareness and subjective emotional intensity, while adolescents of the second group (depression with risk-taking behavior) have a higher level on both measures. Depressed adolescents present the highest score of emotional awareness within the pathological groups, lower than controls. Paradoxically, their ability to represent themselves others' emotions were higher than the control group, just as the intensity of their subjective emotional experience in case of negative emotions.
The results may be explained by a specific developmental hypothesis, in which emotional awareness growth from the early period of life to late childhood, allowing children to gradually experiment more and more complex subjective emotional experiences. However, early exposure to traumatic experiences or inadequate environment may lead to developmental arrests, in which emotional awareness is weak. In this case, a lack of emotional information caused by low emotional awareness may have pathological issues, in terms of depression and risk-taking behavior. Clinical implications of this interpretation are discussed.
年轻人的冒险行为与抑郁症之间的关系被视为一个复杂的精神病理学问题。先前的研究结果表明,药物滥用、冒险行为和抑郁症状之间存在很强的相关性。然而,关于抑郁症和冒险行为的潜在共同因素仍存在疑问。除了关注人格维度的研究外,其他一些研究强调了情绪及其病理方面所起的作用。在这些研究中,诸如述情障碍或情绪强度特定缺陷等病理性情绪加工与冒险行为和抑郁症都有关联。本研究的目的是调查参与病理性冒险或有抑郁症状的青少年,与同时存在这两种情况的青少年相比,其潜在的特定情绪特征。
488名青少年(年龄均值 = 14.93,标准差 = 1.44),其中257名男孩(年龄均值 = 15,标准差 = 1.51)和231名女孩(年龄均值 = 14.52,标准差 = 1.23),被分为四组:参与高风险行为的青少年、同时表现出高风险行为和高抑郁症状的青少年、抑郁的青少年以及没有任何病理情况的对照组。这四组完成了一组三项评估:青少年风险行为监测量表(YRBSS)、情绪意识水平量表(LEAS)和差异情绪量表(DES)。
参与冒险行为的青少年情绪意识水平和主观情绪强度最低,而第二组青少年(伴有冒险行为的抑郁症患者)在这两项指标上的水平较高。抑郁的青少年在病理性组中情绪意识得分最高,但低于对照组。矛盾的是,他们理解他人情绪的能力高于对照组,在出现负面情绪时主观情绪体验的强度也高于对照组。
这些结果可能由一个特定的发展假说解释,即情绪意识从生命早期到童年后期不断发展,使儿童能够逐渐体验越来越复杂的主观情绪经历。然而,早期接触创伤性经历或不良环境可能导致发展停滞,情绪意识薄弱。在这种情况下,低情绪意识导致的情绪信息缺乏可能在抑郁症和冒险行为方面产生病理问题。本文讨论了这一解释的临床意义。