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童年期受虐与易患抑郁症:表面健康的年轻成年人的认知创伤

Childhood abuse and vulnerability to depression: cognitive scars in otherwise healthy young adults.

作者信息

Wells Tony T, Vanderlind W Michael, Selby Edward A, Beevers Christopher G

机构信息

a Department of Psychology , Oklahoma State University , Stillwater , OK , USA.

出版信息

Cogn Emot. 2014;28(5):821-33. doi: 10.1080/02699931.2013.864258. Epub 2013 Dec 7.

Abstract

Models of depression vulnerability posit that negative early experiences, such as exposure to childhood abuse (CA), increase vulnerability to depression later in life. Though most victims of CA do not go on to develop depression, the question remains as to whether these individuals retain cognitive 'scars' that may contribute to depression vulnerability. The present study examined the relationship between self-reported, retrospective CA and cognitive vulnerability to depression in a carefully selected sample of young adults without current or past psychopathology. We measured cognitive vulnerability with both a self-report questionnaire, the Dysfunctional Attitudes Scale (DAS), and a measure of information processing bias, the Scrambled Sentences Test (SST). Self-reported severity of CA was associated with increased cognitive vulnerability to depression on both the DAS and SST. Vulnerability to depression as measured by the SST, but not by the DAS, prospectively predicted increases in depressive symptoms over a 6-month period. Scores on the SST also interacted with CA to predict increases in depressive symptoms. These findings demonstrate the pernicious effects of CA even in those without current or past psychopathology.

摘要

抑郁症易感性模型认为,早期的负面经历,如童年期受虐(CA),会增加日后患抑郁症的易感性。虽然大多数童年期受虐的受害者不会患上抑郁症,但问题仍然存在,即这些人是否保留了可能导致抑郁症易感性的认知“伤痕”。本研究在精心挑选的、目前或过去均无精神病理学症状的年轻成年人样本中,考察了自我报告的回顾性童年期受虐经历与抑郁症认知易感性之间的关系。我们通过一份自我报告问卷——功能失调性态度量表(DAS)以及一种信息加工偏差测量方法——乱序句子测验(SST)来测量认知易感性。自我报告的童年期受虐严重程度与在DAS和SST上更高的抑郁症认知易感性相关。通过SST而非DAS测量的抑郁症易感性,前瞻性地预测了6个月内抑郁症状的增加。SST得分也与童年期受虐相互作用,以预测抑郁症状的增加。这些发现表明,即使对于目前或过去没有精神病理学症状的人,童年期受虐也有有害影响。

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