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青少年期和成年早期应对方式与抑郁症状随年龄变化的关系。

Age-varying associations between coping and depressive symptoms throughout adolescence and emerging adulthood.

机构信息

Connecticut Children's Medical Center.

State University of New York at Cortland.

出版信息

Dev Psychopathol. 2018 May;30(2):665-681. doi: 10.1017/S0954579417001183.

DOI:10.1017/S0954579417001183
PMID:29692294
Abstract

The objective of the current study was to apply the novel technique of time-varying effect modeling to examine age-varying associations between specific coping strategies and depressive symptoms across adolescence and emerging adulthood (ages 14-24). The participants were drawn from a community sample and followed across 4 years of high school and once 5 years postgraduation (N = 1,251, 53% female, 58% non-Hispanic White). Coping and depressive symptom questionnaires were administered across all data collection time points. Time-varying effect modeling used all available data (N = 5,651 measurement occasions) and adjusted for gender. Venting emotions and denial were associated with more depressive symptoms at a similar magnitude across adolescence and emerging adulthood. A positive association between problem solving oriented strategies (planning, active coping) and depressive symptoms was not observed until age 17.5, after which the magnitude of the association strengthened. More frequent instrumental and emotional support seeking were linked to fewer depressive symptoms between ages 18.8 and 23.6. More frequent use of humor was associated with greater depressive symptoms from ages 14.0 to 14.6, but with fewer depressive symptoms from ages 16.8 to 18.8. The findings illuminate when and how associations between specific coping strategies and depressive symptoms may emerge and change across developmental age, generating both theoretical and clinical implications.

摘要

本研究旨在应用时变效应建模的新方法,考察特定应对策略与青少年和成年早期(14-24 岁)抑郁症状之间的随年龄变化的关联。参与者来自社区样本,在高中 4 年和毕业后 5 年(N=1251,53%女性,58%非西班牙裔白人)期间进行了随访。在所有数据收集时间点都进行了应对和抑郁症状问卷的评估。时变效应建模使用了所有可用数据(N=5651 次测量),并对性别进行了调整。情绪宣泄和否认在青少年和成年早期的抑郁症状中具有相似的关联。直到 17.5 岁,解决问题导向的策略(计划、积极应对)与抑郁症状之间才呈现出正相关,此后关联的强度增强。在 18.8 岁至 23.6 岁之间,寻求更多的工具性和情感支持与较少的抑郁症状相关。从 14 岁到 14.6 岁,更频繁地使用幽默与更多的抑郁症状相关,但从 16.8 岁到 18.8 岁,与较少的抑郁症状相关。研究结果阐明了特定应对策略与抑郁症状之间的关联何时以及如何在发展年龄上出现和变化,具有理论和临床意义。

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