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青少年抑郁的认知-人际模型:家庭冲突和抑郁认知风格的影响。

A cognitive-interpersonal model of adolescent depression: the impact of family conflict and depressogenic cognitive styles.

机构信息

Psychiatry, McLean Hospital, Harvard Medical School, Belmont, MA 02478, USA.

出版信息

J Clin Child Adolesc Psychol. 2012;41(6):792-802. doi: 10.1080/15374416.2012.727760. Epub 2012 Oct 11.

DOI:10.1080/15374416.2012.727760
PMID:23057789
Abstract

The goal of the study is to examine whether family conflict generates peer-related stress and subsequent depressive symptoms among adolescents. In addition, in the context of the proposed mediation model, we examine whether negative cognitive styles about the self, cause, and consequences moderate the mediational pathway between peer stress and depressive symptoms. The study includes 179 adolescents (71 boys, 108 girls) ages 12 to 18, and the majority of the participants are Caucasian (79.5%). At the initial assessment, participants completed self-report measures regarding family conflict, negative cognitive style, stress, and depressive symptoms. Participants also completed 3 subsequent self-report assessments every 6 weeks in which information regarding stress and depressive symptoms were collected. Both within- and between-subject analyses indicate that dependent interpersonal peer stress partially mediates the relationship between greater family conflict and higher levels of depressive symptoms. Moreover, results of our moderated-mediation model indicate that negative cognitive styles regarding the self and cause, but not consequences, moderate the mediational pathway between peer stress and depressive symptoms. These findings underscore the importance of examining more comprehensive models that incorporate both cognitive and interpersonal vulnerability.

摘要

本研究旨在探讨家庭冲突是否会给青少年带来同伴相关的压力,并进而导致抑郁症状。此外,在提出的中介模型的背景下,我们还检验了关于自我、原因和结果的消极认知风格是否会调节同伴压力与抑郁症状之间的中介途径。该研究纳入了 179 名年龄在 12 至 18 岁的青少年(男生 71 名,女生 108 名),其中大多数参与者为白种人(79.5%)。在初始评估中,参与者完成了关于家庭冲突、消极认知风格、压力和抑郁症状的自我报告式测量。参与者还每 6 周完成 3 次后续的自我报告式评估,其中收集了关于压力和抑郁症状的信息。无论是在个体内还是个体间的分析中,都表明依赖人际关系的同伴压力部分中介了家庭冲突与抑郁症状之间的关系。此外,我们的中介调节模型的结果表明,关于自我和原因的消极认知风格,但不是关于结果的消极认知风格,调节了同伴压力与抑郁症状之间的中介途径。这些发现强调了研究更全面的模型的重要性,这些模型需要纳入认知和人际易感性两个方面。

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