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生活压力事件与抑郁症状:童年情绪虐待对应激反应的影响。

Stressful life events and depression symptoms: the effect of childhood emotional abuse on stress reactivity.

机构信息

Temple University.

出版信息

J Clin Psychol. 2014 Mar;70(3):209-23. doi: 10.1002/jclp.22011. Epub 2013 Jun 25.

Abstract

OBJECTIVE

Stressful life events are associated with an increase in depressive symptoms and the onset of major depression. Importantly, research has shown that the role of stress changes over the course of depression. The present study extends the current literature by examining the effects of early life stress on emotional reactivity to current stressors.

METHOD

In a multiwave study (N = 281, mean age = 18.76; 68% female), we investigated the proximal changes that occur in depressive symptoms when individuals are faced with life stress and whether a history of childhood emotional abuse moderates this relationship.

RESULTS

Results support the stress sensitivity hypothesis for early emotional abuse history. Individuals with greater childhood emotional abuse severity experienced greater increases in depressive symptoms when confronted with current dependent stressors, controlling for childhood physical and sexual abuse.

CONCLUSIONS

This study highlights the importance of emotional abuse as an indicator for reactivity to stressful life events.

摘要

目的

生活压力事件与抑郁症状的增加和重度抑郁症的发病有关。重要的是,研究表明,压力在抑郁症病程中的作用会发生变化。本研究通过考察早期生活压力对当前压力源的情绪反应的影响,扩展了当前的文献。

方法

在一项多波研究(N=281,平均年龄=18.76;68%为女性)中,我们调查了当个体面临生活压力时抑郁症状的近期变化,以及童年情绪虐待史是否会调节这种关系。

结果

结果支持了童年情绪虐待史的应激敏感性假说。在控制了儿童期身体和性虐待后,童年情绪虐待严重程度较高的个体在面临当前依赖压力源时,抑郁症状的增加更为明显。

结论

这项研究强调了情绪虐待作为对生活压力事件反应性的一个指标的重要性。

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Stress and depression.压力与抑郁。
Annu Rev Clin Psychol. 2005;1:293-319. doi: 10.1146/annurev.clinpsy.1.102803.143938.

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