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童年期的沉思性反刍与内化症状:一项多波前瞻性研究中的症状特异性调查

Brooding Rumination and Internalizing Symptoms in Childhood: Investigating Symptom Specificity in a Multi-Wave Prospective Study.

作者信息

Lopez Cristina M, Felton Julia W, Driscoll Kimberly A, Kistner Janet A

机构信息

Medical University of South Carolina.

Florida State University, Tallahassee.

出版信息

Int J Cogn Ther. 2012;5(3):240-253. doi: 10.1521/ijct.2012.5.3.240.

Abstract

Specificity of brooding rumination as a cognitive vulnerability for anxiety and depression was examined using the tripartite theory as a framework. The three factors of the tripartite theory (negative affect, positive affect, and physiological hyperarousal) were included in the same structural equation model (latent growth curves) to test three competing hypotheses: brooding rumination as a depression-specific vulnerability (i.e., brooding uniquely predicts shared negative affect + specific positive affect), anxiety-specific vulnerability (i.e., brooding predicts shared negative affect + specific physiological hyperarousal), or shared risk vulnerability (i.e., brooding predicts negative affect, the shared tripartite component common to both anxiety and depression). Data from children in 2nd through 7th grades ( = 303) were collected in three waves over two years. Results revealed brooding to be uniquely associated with initial levels of negative affect and physiological hyperarousal, thus providing support for the anxiety-specific vulnerability. Results from the multigroup analysis confirmed that the relationship among these variables did not differ across sex. Longitudinal associations between brooding and the tripartite factors are also discussed.

摘要

以三方理论为框架,研究了沉思反刍作为焦虑和抑郁的一种认知易感性的特异性。三方理论的三个因素(消极情绪、积极情绪和生理过度唤醒)被纳入同一个结构方程模型(潜在增长曲线),以检验三个相互竞争的假设:沉思反刍作为抑郁特异性易感性(即沉思独特地预测共同的消极情绪+特定的积极情绪)、焦虑特异性易感性(即沉思预测共同的消极情绪+特定的生理过度唤醒)或共同风险易感性(即沉思预测消极情绪,这是焦虑和抑郁共有的三方共同成分)。在两年内分三次收集了二至七年级儿童(n = 303)的数据。结果显示,沉思与消极情绪和生理过度唤醒的初始水平存在独特关联,从而为焦虑特异性易感性提供了支持。多组分析结果证实,这些变量之间的关系在性别上没有差异。还讨论了沉思与三方因素之间的纵向关联。

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