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情绪调节、积极的沉思与积极的生活事件:与有抑郁风险儿童的抑郁症状的关联

Dampening, Positive Rumination, and Positive Life Events: Associations with Depressive Symptoms in Children at Risk for Depression.

作者信息

Gilbert Kirsten, Luking Katherine, Pagliaccio David, Luby Joan, Barch Deanna

机构信息

Department of Psychiatry, Washington University in St. Louis, St. Louis, Missouri.

Department of Psychology, Stony Brook University, Stony Brook, New York.

出版信息

Cognit Ther Res. 2017 Feb;41(1):31-42. doi: 10.1007/s10608-016-9798-5. Epub 2016 Aug 17.

Abstract

Blunted positive affect is characteristic of depression. Altered positive affect regulation may contribute to this blunting, and two regulation strategies, dampening positive affect and positive rumination, have been implicated in depression. However, the conditions under which these strategies impart risk/protective effects prior to onset of depression are unknown. The current study examined 81 healthy children (age 7-10) at low and high risk for depression on the basis of maternal history of depression and tested how dampening and positive rumination interacted with the experience of recent positive life events to predict depressive symptoms. Children at high and low risk did not differ in their use of dampening or positive rumination. However, elevated use of dampening in the context of many positive life events predicted current depressive symptoms, and specifically anhedonic symptoms, in children at low-risk for depression. These findings held when controlling for negative rumination and negative life events. Positive rumination did not interact with positive life events but was associated with higher depressive symptoms in high-risk children. Results indicate that prior to the onset of depression, positive life events may impart risk when dampening positive affect is utilized in this context, while positive rumination may increase risk for depressive symptoms.

摘要

积极情感迟钝是抑郁症的特征。积极情感调节的改变可能导致这种迟钝,两种调节策略,即抑制积极情感和积极反刍思维,已被认为与抑郁症有关。然而,在抑郁症发作之前,这些策略产生风险/保护作用的条件尚不清楚。当前的研究基于母亲的抑郁病史,对81名处于抑郁症低风险和高风险的健康儿童(7至10岁)进行了调查,并测试了抑制和积极反刍思维如何与近期积极生活事件的经历相互作用,以预测抑郁症状。高风险和低风险儿童在使用抑制或积极反刍思维方面没有差异。然而,在许多积极生活事件的背景下,抑制的增加预示着低抑郁症风险儿童目前的抑郁症状,特别是快感缺失症状。在控制消极反刍思维和消极生活事件时,这些发现依然成立。积极反刍思维与积极生活事件没有相互作用,但与高风险儿童较高的抑郁症状有关。结果表明,在抑郁症发作之前,当在这种背景下利用抑制积极情感时,积极生活事件可能会带来风险,而积极反刍思维可能会增加抑郁症状的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f812/5627513/74e2ee005172/nihms858090f1.jpg

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