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消极认知风格和皮质醇恢复加剧了生活压力与抑郁症状之间的关系。

Negative cognitive style and cortisol recovery accentuate the relationship between life stress and depressive symptoms.

作者信息

Quinn Meghan E, Grant Kathryn E, Adam Emma K

机构信息

a Department of Psychology, Northwestern University , Evanston , IL , USA.

b Department of Psychology, DePaul University , Chicago , IL , USA.

出版信息

Stress. 2018 Mar;21(2):119-127. doi: 10.1080/10253890.2017.1414800. Epub 2017 Dec 19.

Abstract

When exposed to stressful life events, a significant number of adolescents will experience depressive symptoms. One model of depression suggests that individuals with a negative cognitive style are most vulnerable to depression following life stress. Alternatively, altered activation of the hypothalamic-pituitary-adrenal axis may explain vulnerability to depression following life stress. Each of these models plausibly explains the emergence of depressive symptoms during adolescence and have been investigated largely independently. The current study recruited a sample of urban adolescents (N = 179) to evaluate whether cortisol response to a laboratory stress induction and negative cognitive style are related and whether they independently interact with exposure to stressful life events to predict symptoms of depression. Negative cognitive style was not associated with cortisol response to the laboratory stressor. Rather, negative cognitive style and cortisol recovery independently interacted with stressful life events to predict current symptoms of depression. Results support a heterogeneous etiology of depression.

摘要

当暴露于压力性生活事件时,相当数量的青少年会出现抑郁症状。一种抑郁症模型表明,具有消极认知风格的个体在生活压力后最易患抑郁症。另外,下丘脑 - 垂体 - 肾上腺轴的激活改变可能解释了生活压力后易患抑郁症的原因。这些模型中的每一个都合理地解释了青春期抑郁症状的出现,并且在很大程度上是独立进行研究的。当前的研究招募了一组城市青少年样本(N = 179),以评估对实验室压力诱导的皮质醇反应与消极认知风格是否相关,以及它们是否独立地与压力性生活事件的暴露相互作用以预测抑郁症状。消极认知风格与对实验室应激源的皮质醇反应无关。相反,消极认知风格和皮质醇恢复与压力性生活事件独立相互作用,以预测当前的抑郁症状。结果支持抑郁症的异质性病因。

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Stress revisited: a critical evaluation of the stress concept.重新审视压力:对压力概念的批判性评价。
Neurosci Biobehav Rev. 2011 Apr;35(5):1291-301. doi: 10.1016/j.neubiorev.2011.02.003. Epub 2011 Feb 21.

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