Department of Clinical Psychology, University of Groningen, The Netherlands.
J Behav Ther Exp Psychiatry. 2014 Mar;45(1):113-21. doi: 10.1016/j.jbtep.2013.09.007. Epub 2013 Sep 27.
BACKGROUND AND OBJECTIVES: A negative self-view is a prominent factor in most cognitive vulnerability models of depression and anxiety. Recently, there has been increased attention to differentiate between the implicit (automatic) and the explicit (reflective) processing of self-related evaluations. This longitudinal study aimed to test the association between implicit and explicit self-esteem and symptoms of adolescent depression and social anxiety disorder. Two complementary models were tested: the vulnerability model and the scarring effect model. METHOD: Participants were 1641 first and second year pupils of secondary schools in the Netherlands. The Rosenberg Self-Esteem Scale, self-esteem Implicit Association Test and Revised Child Anxiety and Depression Scale were completed to measure explicit self-esteem, implicit self-esteem and symptoms of social anxiety disorder (SAD) and major depressive disorder (MDD), respectively, at baseline and two-year follow-up. RESULTS: Explicit self-esteem at baseline was associated with symptoms of MDD and SAD at follow-up. Symptomatology at baseline was not associated with explicit self-esteem at follow-up. Implicit self-esteem was not associated with symptoms of MDD or SAD in either direction. LIMITATIONS: We relied on self-report measures of MDD and SAD symptomatology. Also, findings are based on a non-clinical sample. CONCLUSIONS: Our findings support the vulnerability model, and not the scarring effect model. The implications of these findings suggest support of an explicit self-esteem intervention to prevent increases in MDD and SAD symptomatology in non-clinical adolescents.
背景与目的:消极的自我观是大多数抑郁和焦虑认知易感性模型的一个突出因素。最近,人们越来越关注区分自我相关评价的内隐(自动)和外显(反射)加工。本纵向研究旨在检验青少年抑郁和社交焦虑障碍症状与内隐和外显自尊之间的关联。测试了两种互补模型:脆弱性模型和疤痕效应模型。 方法:参与者为荷兰 1641 名中学一年级和二年级学生。在基线和两年随访时,使用罗森伯格自尊量表、自尊内隐联想测验和修订后的儿童焦虑和抑郁量表分别测量外显自尊、内隐自尊以及社交焦虑障碍(SAD)和重性抑郁障碍(MDD)的症状。 结果:基线时的外显自尊与随访时的 MDD 和 SAD 症状相关。基线时的症状与随访时的外显自尊无关。内隐自尊与 MDD 或 SAD 的症状均无关联。 局限性:我们依赖于 MDD 和 SAD 症状的自我报告测量。此外,研究结果基于非临床样本。 结论:我们的研究结果支持脆弱性模型,而不支持疤痕效应模型。这些发现的意义表明,支持对非临床青少年进行外显自尊干预,以预防 MDD 和 SAD 症状的增加。
J Behav Ther Exp Psychiatry. 2013-9-27
J Behav Ther Exp Psychiatry. 2012-5-26
J Behav Ther Exp Psychiatry. 2012-7-21
J Behav Ther Exp Psychiatry. 2011-9-10
J Behav Ther Exp Psychiatry. 2013-10-26
Behav Res Ther. 2007-10
Children (Basel). 2024-3-12