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亲密朋友的精神病理学:从早期逆境到青年期抑郁症状的一条途径

Close Friends' Psychopathology as a Pathway From Early Adversity to Young Adulthood Depressive Symptoms.

作者信息

Raposa Elizabeth B, Hammen Constance L, Brennan Patricia A

机构信息

a Department of Psychology , University of California , Los Angeles.

出版信息

J Clin Child Adolesc Psychol. 2015;44(5):742-50. doi: 10.1080/15374416.2014.910788. Epub 2014 May 28.

Abstract

Past research has highlighted the negative impact of early adverse experiences on childhood social functioning, including friendship selection, and later mental health. The current study explored the long-term effects of early adversity on young adults' close friends' psychological symptoms and the impact of these close friendships on later depressive symptoms. A prospective longitudinal design was used to examine 816 youth from a large community-based sample, who were followed from birth through age 25. Participants' mothers provided contemporaneous information about adversity exposure up to age 5, and participants completed questionnaires about their own depressive symptoms at age 20 and in their early 20s. Youth also nominated a best friend to complete questionnaires about his or her own psychopathology at age 20. Individuals who experienced more early adversity by age 5 had best friends with higher rates of psychopathology at age 20. Moreover, best friends' psychopathology predicted target youth depressive symptoms 2 to 5 years later. Results indicate that early adversity continues to affect social functioning throughout young adulthood and that best friendships marked by elevated psychopathology in turn negatively affect mental health. Findings have implications for clinical interventions designed to prevent the development of depressive symptoms in youth who have been exposed to early adversity.

摘要

过去的研究强调了早期不良经历对儿童社会功能的负面影响,包括友谊选择以及后期的心理健康。当前的研究探讨了早期逆境对年轻成年人亲密朋友心理症状的长期影响,以及这些亲密友谊对后期抑郁症状的影响。采用前瞻性纵向设计,对来自一个大型社区样本的816名青少年进行研究,从出生一直跟踪到25岁。参与者的母亲提供了关于5岁前逆境暴露的同期信息,参与者在20岁及20岁出头时完成了关于自己抑郁症状的问卷调查。青少年还提名了一位最好的朋友,让其在20岁时完成关于自己精神病理学的问卷调查。5岁前经历更多早期逆境的个体,其20岁时最好的朋友患有精神病理学的比例更高。此外,最好朋友的精神病理学状况可预测目标青少年在2至5年后的抑郁症状。结果表明,早期逆境在整个青年期持续影响社会功能,而以精神病理学程度较高为特征的亲密友谊反过来会对心理健康产生负面影响。这些发现对旨在预防经历过早期逆境的青少年出现抑郁症状的临床干预具有启示意义。

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Stress and depression.压力与抑郁。
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