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焦虑和抑郁的核心维度在青春期会独立变化。

Core dimensions of anxiety and depression change independently during adolescence.

作者信息

Conway Christopher C, Zinbarg Richard E, Mineka Susan, Craske Michelle G

机构信息

Department of Psychology, College of William & Mary.

Department of Psychology, Northwestern University.

出版信息

J Abnorm Psychol. 2017 Feb;126(2):160-172. doi: 10.1037/abn0000222.

Abstract

The developmental trajectories of emotional disorder symptoms during adolescence remain elusive, owing in part to a shortage of intensive longitudinal data. In the present study, we charted the temporal course of the tripartite model of anxiety and depression-which posits an overarching negative affect dimension and specific anhedonia and anxious arousal dimensions-over adolescence and emerging adulthood to construct a developmental map of the core dimensions of emotional disorders. We recruited 604 high school juniors, overselecting those at high risk for emotional disorders, and assessed the tripartite symptom domains 5 times annually. Latent curve modeling revealed that negative affect and anxious arousal declined over follow up, whereas anhedonia did not. Moreover, the correlation in rate of change varied across pairs of symptom domains. Change in negative affect was moderately correlated with change in anxious arousal, but change in anhedonia was not significantly related to change in any other domain. Symptom trajectories, and the pattern of covariation among trajectories, were equivalent across gender and comorbidity status. We discuss implications of these findings for developmental models of anxiety and depression, as well as transdiagnostic frameworks for emotional disorders. (PsycINFO Database Record

摘要

青少年期情绪障碍症状的发展轨迹仍不明确,部分原因是缺乏密集的纵向数据。在本研究中,我们描绘了焦虑和抑郁三方模型的时间进程——该模型假定存在一个总体的消极情绪维度以及特定的快感缺失和焦虑唤醒维度——贯穿青少年期和成年早期,以构建情绪障碍核心维度的发展图谱。我们招募了604名高中三年级学生,过度选取了那些有情绪障碍高风险的学生,并每年对三方症状领域进行5次评估。潜曲线模型显示,消极情绪和焦虑唤醒在随访期间有所下降,而快感缺失则没有。此外,症状领域对之间变化的相关性各不相同。消极情绪的变化与焦虑唤醒的变化中度相关,但快感缺失的变化与任何其他领域的变化均无显著关联。症状轨迹以及轨迹间的共变模式在性别和共病状况上是等同的。我们讨论了这些发现对焦虑和抑郁发展模型以及情绪障碍跨诊断框架的意义。(《心理学文摘数据库记录》 )

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