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感知到的社会支持作为青少年负面生活事件与抑郁之间的调节因素:对预测和针对性预防的启示

Perceived social support as a moderator between negative life events and depression in adolescence: implications for prediction and targeted prevention.

作者信息

Miloseva Lence, Vukosavljevic-Gvozden Tatjana, Richter Kneginja, Milosev Vladimir, Niklewski Günter

机构信息

Faculty of Medical Science, Goce Delcev University, Ul. Krste Misirkov, bb, 2000 Stip, Republic of Macedonia.

Faculty of Philosophy, Department of Psychology, University of Belgrade, Belgrade, Serbia.

出版信息

EPMA J. 2017 Jun 23;8(3):237-245. doi: 10.1007/s13167-017-0095-5. eCollection 2017 Sep.

Abstract

AIM AND BACKGROUND

The role of the perceived social support in prevention of depression in adolescence still remains an insufficiently explored problem. By integrating the results of the previous studies of moderator role of perceived social support between negative life events and depression in adolescence we set up two goals. One is to determine whether perceived social support has moderator role in the sample consisted of clinical, subclinical, and control respondents. Another goal is to identify in which group the interaction effect is significant, i.e. the perceived social support acts as moderator.

METHODS

The sample consisted of 412 adolescents (61.7% female and 38.3% male) aged 13-17 years (mean = 15.70, SD = 1.22). We applied: Data sheet for all respondents; Mini International Neuropsychiatric Interview; Multidimensional Scale of Perceived Social Support; Adolescent Life Events Questionnaire; Centre for Epidemiological Depression Scale.

RESULTS

We have shown that the association between levels of depressive symptoms and negative life events changes as the value of the moderator variable perceived social support changes. The finding that the moderating interaction effect was significant only in the subclinical group is particularly interesting.

CONCLUSIONS

Taking into account that perceived social support moderates the association between negative stress events and levels of depression, we can propose a model for the prevention of depression, which will include perceived social support. However, future research with longitudinal design is required to verify the results.

摘要

目的与背景

感知到的社会支持在预防青少年抑郁症中的作用仍是一个研究不足的问题。通过整合先前关于感知到的社会支持在青少年负面生活事件与抑郁症之间的调节作用的研究结果,我们设定了两个目标。一是确定在由临床、亚临床和对照受访者组成的样本中,感知到的社会支持是否具有调节作用。另一个目标是确定在哪一组中交互作用显著,即感知到的社会支持起到调节作用。

方法

样本包括412名13 - 17岁的青少年(女性占61.7%,男性占38.3%)(平均年龄 = 15.70,标准差 = 1.22)。我们应用了:所有受访者的数据表;迷你国际神经精神病学访谈;多维感知社会支持量表;青少年生活事件问卷;流行病学抑郁量表中心。

结果

我们已经表明,随着调节变量感知到的社会支持值的变化,抑郁症状水平与负面生活事件之间的关联也会改变。特别有趣的是,调节交互作用仅在亚临床组中显著这一发现。

结论

考虑到感知到的社会支持调节负面压力事件与抑郁水平之间的关联,我们可以提出一个预防抑郁症的模型,其中将包括感知到的社会支持。然而,需要未来采用纵向设计的研究来验证这些结果。

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