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沉思反刍作为青少年早期适应不良图式与抑郁和社交焦虑症状之间关系的中介因素。

Brooding rumination as a mediator in the relation between early maladaptive schemas and symptoms of depression and social anxiety in adolescents.

作者信息

Orue Izaskun, Calvete Esther, Padilla Patricia

机构信息

Department of Personality, Assessment and Psychological Treatment, University of Deusto, Spain.

Department of Personality, Assessment and Psychological Treatment, University of Deusto, Spain.

出版信息

J Adolesc. 2014 Dec;37(8):1281-91. doi: 10.1016/j.adolescence.2014.09.004. Epub 2014 Oct 5.

Abstract

Theory states that different cognitive constructs can be included in an integrated sequential model. This 3-wave longitudinal study assessed whether schema domains predict brooding rumination and brooding in turn predict depression and social anxiety symptoms among adolescents. A total of 1170 adolescents (M(age) = 13.44 years old, SD(age) = 1.30) completed measures of schema domains, brooding rumination, depression and social anxiety symptoms at baseline, 6- and 12-month follow-up (T1, T2, T3, respectively). Results revealed that the Disconnection and Rejection schema domain at T1 predicted prospective depression symptoms at T3 directly but not through brooding rumination. However, this schema domain did not predict social anxiety symptoms. The Other-Directedness schema domain at T1 predicted social anxiety symptoms at T3 both directly and through brooding at T2. Furthermore, this schema domain also predicted depression symptoms at T3 through brooding at T2. Identifying specific schema domains and the mechanisms through which these domains predict psychological symptoms has implications for interventions with adolescents.

摘要

理论表明,不同的认知结构可以纳入一个综合的序列模型。这项三波纵向研究评估了图式领域是否能预测沉思反刍,以及沉思反刍是否进而能预测青少年的抑郁和社交焦虑症状。共有1170名青少年(年龄均值M = 13.44岁,标准差SD(年龄)= 1.30)在基线、6个月和12个月随访时(分别为T1、T2、T3)完成了图式领域、沉思反刍、抑郁和社交焦虑症状的测量。结果显示,T1时的分离与拒绝图式领域直接预测了T3时的前瞻性抑郁症状,但并非通过沉思反刍来预测。然而,该图式领域并未预测社交焦虑症状。T1时的他人导向图式领域直接以及通过T2时的沉思反刍预测了T3时的社交焦虑症状。此外,该图式领域还通过T2时的沉思反刍预测了T3时的抑郁症状。识别特定的图式领域以及这些领域预测心理症状的机制对青少年干预具有启示意义。

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