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一项关于儿童和青少年抑郁症状认知风险的纵向研究。

A Longitudinal Study of Cognitive Risks for Depressive Symptoms in Children and Young Adolescents.

作者信息

Cole David A, Jacquez Farrah M, LaGrange Beth, Pineda Ashley Q, Truss Alanna E, Weitlauf Amy S, Tilghman-Osborne Carlos, Felton Julia, Garber Judy, Dallaire Danielle H, Ciesla Jeff A, Maxwell Melissa A, Dufton Lynette

机构信息

Vanderbilt University, Nashville, TN.

出版信息

J Early Adolesc. 2011 Dec;31(6):782-816. doi: 10.1177/0272431610376248.

Abstract

Youths with high ( = 52) or low cognitive vulnerability ( = 48) for depression were selected from a larger sample ( = 515) of students (7-10 years old), based on their attributional style (AS), negative cognitions (NC), and/or self-competence (SC). Long-term effects of cognitive vulnerabilities on depressive symptoms were examined in a 3-year, three-wave, multiinformant, longitudinal design. Three findings emerged. First, some empirical overlap exists among these three types of cognitive diatheses, especially between NC and SC. Second, the combination of AS, NC, and SC had a significant (but diminishing) relationship to depressive symptoms at 6, 18, and 30 months, primarily due to NC and SC, not AS. Third, interactions between cognitive risk and life events were not significant, suggesting an additive type of diathesis-stress model for depression in young adolescents.

摘要

根据归因方式(AS)、消极认知(NC)和/或自我能力(SC),从一个更大的(N = 515)7至10岁学生样本中选取了抑郁症认知易感性高(n = 52)或低(n = 48)的青少年。采用为期3年、三波次、多信息提供者的纵向设计,研究认知易感性对抑郁症状的长期影响。得出了三个结果。第一,这三种认知易感性类型之间存在一些实证重叠,尤其是消极认知和自我能力之间。第二,归因方式、消极认知和自我能力的组合在6个月、18个月和30个月时与抑郁症状存在显著(但逐渐减弱)的关系,主要归因于消极认知和自我能力,而非归因方式。第三,认知风险与生活事件之间的交互作用不显著,这表明青少年抑郁症存在一种累加型素质-应激模型。

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