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抑郁母亲的子女的认知易损性与自杀念头的发展:一项纵向调查。

Cognitive vulnerabilities and development of suicidal thinking in children of depressed mothers: A longitudinal investigation.

作者信息

Tsypes Aliona, Gibb Brandon E

机构信息

Department of Psychology, Binghamton University (SUNY), 4400 Vestal Parkway East, Binghamton, NY 13902, United States.

Department of Psychology, Binghamton University (SUNY), 4400 Vestal Parkway East, Binghamton, NY 13902, United States.

出版信息

Psychiatry Res. 2016 May 30;239:99-104. doi: 10.1016/j.psychres.2016.03.008. Epub 2016 Mar 4.

Abstract

Although children of depressed parents are at heightened risk for suicidal ideation, little is known about specific risk factors. This study focused on the relation between a broad range of cognitive vulnerabilities proposed by the leading cognitive theories and the development of suicidal ideation in children. Participants were 209 mothers (aged 24-55) and their 8-14 year old children. Children of depressed mothers who had previously experienced suicidal ideation themselves reported higher levels of brooding rumination than children of depressed mothers who had not experienced suicidal ideation as well as children of never depressed mothers who had not experienced suicidal ideation. Further, among children of depressed mothers with no prior history of suicidal ideation, higher levels of hopelessness and lower global self-worth predicted first onset of suicidal ideation over a 2-year follow-up. Importantly, these results were maintained even after taking the occurrence of major depressive disorder in children during the follow-up into account. The findings highlight specific cognitive vulnerabilities that could be targeted in early suicide prevention and intervention efforts.

摘要

尽管父母患有抑郁症的孩子出现自杀念头的风险更高,但对于具体的风险因素却知之甚少。本研究聚焦于主要认知理论提出的一系列广泛的认知易感性与儿童自杀念头发展之间的关系。参与者为209名母亲(年龄在24至55岁之间)及其8至14岁的孩子。曾有过自杀念头的抑郁症母亲的孩子,比起未曾有过自杀念头的抑郁症母亲的孩子以及未曾有过自杀念头的从未患过抑郁症母亲的孩子,表现出更高水平的沉思反刍。此外,在未曾有过自杀念头病史的抑郁症母亲的孩子中,较高水平的绝望感和较低的总体自我价值预示着在为期两年的随访中首次出现自杀念头。重要的是,即使在考虑到随访期间儿童发生重度抑郁症的情况后,这些结果依然成立。研究结果突出了在早期自杀预防和干预工作中可以作为目标的特定认知易感性。

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