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拒绝敏感性与抑郁:通过问题解决的间接影响。

Rejection Sensitivity and Depression: Indirect Effects Through Problem Solving.

作者信息

Kraines Morganne A, Wells Tony T

出版信息

Psychiatry. 2017 Spring;80(1):55-63. doi: 10.1080/00332747.2016.1185891.

Abstract

OBJECTIVE

Rejection sensitivity (RS) and deficits in social problem solving are risk factors for depression. Despite their relationship to depression and the potential connection between them, no studies have examined RS and social problem solving together in the context of depression. As such, we examined RS, five facets of social problem solving, and symptoms of depression in a young adult sample.

METHOD

A total of 180 participants completed measures of RS, social problem solving, and depressive symptoms. We used bootstrapping to examine the indirect effect of RS on depressive symptoms through problem solving.

RESULTS

RS was positively associated with depressive symptoms. A negative problem orientation, impulsive/careless style, and avoidance style of social problem solving were positively associated with depressive symptoms, and a positive problem orientation was negatively associated with depressive symptoms. RS demonstrated an indirect effect on depressive symptoms through two social problem-solving facets: the tendency to view problems as threats to one's well-being and an avoidance problem-solving style characterized by procrastination, passivity, or overdependence on others.

CONCLUSIONS

These results are consistent with prior research that found a positive association between RS and depression symptoms, but this is the first study to implicate specific problem-solving deficits in the relationship between RS and depression. Our results suggest that depressive symptoms in high RS individuals may result from viewing problems as threats and taking an avoidant, rather than proactive, approach to dealing with problems. These findings may have implications for problem-solving interventions for rejection sensitive individuals.

摘要

目的

拒绝敏感性(RS)和社交问题解决能力缺陷是抑郁症的风险因素。尽管它们与抑郁症有关联,且二者之间可能存在潜在联系,但尚无研究在抑郁症背景下同时考察RS和社交问题解决能力。因此,我们在一个年轻成人样本中考察了RS、社交问题解决的五个方面以及抑郁症状。

方法

共有180名参与者完成了RS、社交问题解决能力和抑郁症状的测量。我们使用自抽样法来考察RS通过问题解决对抑郁症状的间接影响。

结果

RS与抑郁症状呈正相关。社交问题解决的消极问题取向、冲动/粗心风格和回避风格与抑郁症状呈正相关,而积极问题取向与抑郁症状呈负相关。RS通过社交问题解决的两个方面对抑郁症状产生间接影响:将问题视为对自身幸福的威胁的倾向,以及以拖延、被动或过度依赖他人为特征的回避风格。

结论

这些结果与之前发现RS与抑郁症状呈正相关的研究一致,但这是第一项表明RS与抑郁症之间的关系涉及特定问题解决缺陷的研究。我们的结果表明,高RS个体的抑郁症状可能源于将问题视为威胁,并采取回避而非积极主动的方式来处理问题。这些发现可能对针对拒绝敏感个体的问题解决干预措施具有启示意义。

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