Psychology and Human Development, Vanderbilt University, 0552 Peabody, 230 Appleton Place, Nashville, TN 37203-5721, USA.
J Clin Child Adolesc Psychol. 2012;41(5):666-81. doi: 10.1080/15374416.2012.710161. Epub 2012 Aug 14.
This article highlights how the many important contributions of John R. Z. Abela's research program can inform the development and implementation of interventions for preventing depression in youth. Abela provided evidence of multiple vulnerabilities to depression including cognitive (e.g., inferential style, dysfunctional attitudes, ruminative response style), interpersonal (e.g., reassurance seeking, attachment, dependency), personality (e.g., neuroticism, self-criticism), and contextual (e.g., stress, parental depression). He introduced important methodological advances to the study of the hopelessness model of depression, especially in children, including the "weakest link" approach, cognitive priming, and idiographic measurement of stress. We briefly review what is currently known about the prevention of depression regarding intervention targets, content, outcomes, effect sizes, moderators, mediators, specificity, and durability. Next, we summarize several of Abela's contributions that are most relevant to the prevention of depression. We describe the implications of Abela's work for the development, implementation, and testing of programs aimed at preventing depression and discuss important challenges such as the transfer of training to and the personalization of interventions so as to capitalize on individuals' strengths versus compensate for their weaknesses.
本文重点介绍了约翰·R·Z·阿贝拉的研究计划的许多重要贡献,这些贡献可以为预防青少年抑郁的干预措施的制定和实施提供信息。阿贝拉提供了多种易患抑郁症的证据,包括认知(例如,推断风格、功能失调的态度、沉思反应风格)、人际关系(例如,寻求安慰、依恋、依赖)、人格(例如,神经质、自我批评)和环境(例如,压力、父母抑郁)。他为抑郁的绝望模型的研究引入了重要的方法学进展,尤其是在儿童中,包括“最薄弱环节”方法、认知启动和压力的个性化测量。我们简要回顾了目前关于预防抑郁的干预目标、内容、结果、效果大小、调节因素、中介因素、特异性和持久性的知识。接下来,我们总结了阿贝拉在预防抑郁方面最相关的几项贡献。我们描述了阿贝拉的工作对旨在预防抑郁的项目的开发、实施和测试的影响,并讨论了一些重要的挑战,例如培训的转移和干预措施的个性化,以便利用个人的优势而不是弥补他们的弱点。