Department of Psychiatry , Children's Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
J Clin Child Adolesc Psychol. 2012;41(5):584-97. doi: 10.1080/15374416.2012.704840. Epub 2012 Aug 6.
Rumination is a risk factor for depressive and anxiety symptoms in adolescents. Previous investigations of the mechanisms linking rumination to internalizing problems have focused primarily on cognitive factors. We investigated whether interpersonal stress generation plays a role in the longitudinal relationship between rumination and internalizing symptoms in young adolescents. Adolescents (Grades 6-8, N = 1,065) from an ethnically diverse community completed measures of depressive and anxiety symptoms, perceived friendship quality, and peer victimization at two assessments, 7 months apart. We determined whether rumination predicted increased exposure to peer victimization and whether changes in perceived friendship quality mediated this relationship. We also evaluated whether peer victimization mediated the association between rumination and internalizing symptoms. Adolescents who engaged in high levels of rumination at baseline were more likely to experience overt, relational, and reputational victimization at a subsequent time point 7 months later, controlling for baseline internalizing symptoms and victimization. Increased communication with peers was a significant partial mediator of this association for relational (z = 1.98, p = .048) and reputational (z = 2.52, p = .024) victimization. Exposure to overt (z = 3.37, p = .014), relational (z = 3.67, p < .001), and reputational (z = 3.78, p < .001) victimization fully mediated the association between baseline rumination and increases in internalizing symptoms over the study period. These findings suggest that interpersonal stress generation is a mechanism linking rumination to internalizing problems in adolescents and highlight the importance of targeting interpersonal factors in treatment and preventive interventions for adolescents who engage in rumination.
反刍是青少年抑郁和焦虑症状的一个风险因素。先前对将反刍与内化问题联系起来的机制的研究主要集中在认知因素上。我们调查了人际压力产生是否在青少年反刍与内化症状的纵向关系中起作用。来自不同种族社区的青少年(6-8 年级,N=1065)在两次评估中完成了抑郁和焦虑症状、感知友谊质量和同伴受害的测量,两次评估相隔 7 个月。我们确定了反刍是否预测了同伴受害暴露的增加,以及感知友谊质量的变化是否介导了这种关系。我们还评估了同伴受害是否在反刍与内化症状之间的关联中起中介作用。在基线时表现出高水平反刍的青少年在 7 个月后的后续时间点更有可能经历公开、关系和声誉方面的受害,控制基线内化症状和受害情况。与同伴的沟通增加是这种关系的一个重要部分中介,对关系(z=1.98,p=.048)和声誉(z=2.52,p=.024)受害。暴露于公开(z=3.37,p=.014)、关系(z=3.67,p<.001)和声誉(z=3.78,p<.001)受害完全中介了基线反刍与研究期间内化症状增加之间的关联。这些发现表明,人际压力产生是将反刍与青少年内化问题联系起来的一个机制,并强调了在针对反刍的青少年的治疗和预防干预中针对人际因素的重要性。