Nrugham Latha, Holen Are, Sund Anne Mari
National Centre for Suicide Research and Prevention, Department of Psychiatry, Faculty of Medicine, University of Oslo, Oslo, Norway.
J Nerv Ment Dis. 2012 Mar;200(3):197-203. doi: 10.1097/NMD.0b013e318247c914.
Relationships between depression and coping among nonattempters, attempters, and repeaters of suicidal acts were examined across adolescence. A representative sample of students (T1: n = 2464; mean age, 13.7 years; 50.8% female; 88.3% participation) was reassessed with the same questionnaire after 1 year (T2). High scorers on the Mood and Feelings Questionnaire were gender- and age-matched randomly with low and middle scorers. This subset was assessed using diagnostic interviews at T2 (n = 345, 94% participation) and 5 years later using the same interview and questionnaire (T3, n = 252; mean age, 20.0 years; 73% participation). The Coping Inventory for Stressful Situations measured coping as three stable traits. Coping changed partly with age, depression, and attempt status. Differences in depression emerged before coping differences and remained stable. Consistently, repeaters reported higher depression and lesser task-oriented coping. Antecedent depression predicted decreased task-oriented coping and increased emotional coping at age 20 years.
在整个青春期，研究了非自杀未遂者、自杀未遂者和自杀重复者中抑郁与应对方式之间的关系。选取了一个具有代表性的学生样本（T1：n = 2464；平均年龄13.7岁；50.8%为女性；参与率88.3%），1年后（T2）用相同问卷对其进行重新评估。在情绪与感受问卷上得分高的学生与得分低和中等的学生按性别和年龄进行随机匹配。在T2时对这个子集进行诊断访谈评估（n = 345，参与率94%），5年后使用相同的访谈和问卷再次评估（T3，n = 252；平均年龄20.0岁；参与率73%）。应激情境应对量表将应对方式测量为三种稳定特质。应对方式部分随年龄、抑郁和自杀未遂状态而变化。抑郁差异在应对差异之前出现且保持稳定。一致地，自杀重复者报告有更高的抑郁水平和更少的任务导向型应对方式。先前的抑郁预示着在20岁时任务导向型应对方式减少而情绪应对方式增加。
