King's College London, Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, De Crespigny Park, London SE5 8AF, UK.
King's College London, Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, De Crespigny Park, London SE5 8AF, UK.
J Affect Disord. 2018 Oct 1;238:269-276. doi: 10.1016/j.jad.2018.05.032. Epub 2018 May 30.
Enhancing positive future imagery offers promise for treatment innovation in adult depression but has been neglected in adolescence. While negative life events are linked with depression-onset in adolescence, mechanisms underlying this association are poorly understood. We investigate whether difficulties in generating vivid positive future imagery characterise depression, compared to anxiety, and examine potential moderation of the relationship between negative life events and depressive symptoms in adolescence.
Three hundred and seventy-five young people (11-16 years) completed the Prospective Imagery Task, and self-reported on symptoms of anxiety and depression. They were also asked to describe a past negative life event they had been thinking about or imagining over the last seven days, which was subsequently coded by a clinician over whether it was no, low, moderate or high impact.
Symptoms of depression were associated with less vivid positive imagery and more vivid negative imagery whether past or future, whilst symptoms of anxiety were associated with increased vividness for past negative events only. The relationship between life event severity and depression was increased for those with poorer vividness for positive future events.
These data were collected at a single time-point only, limiting conclusions on temporal relationships. All measures were also self-reported, increasing shared method variance.
These findings suggest that the relationship between negative life events and prospective positive imagery are specific to depressive symptoms in adolescence and provide foundations for novel approaches to strengthen psychological interventions.
增强积极的未来意象有望为成人抑郁症的治疗创新带来突破,但在青少年中却被忽视了。虽然负面生活事件与青少年抑郁的发生有关,但人们对这种关联的机制知之甚少。我们研究了与焦虑症相比,在青少年时期,难以产生生动的积极未来意象是否是抑郁症的特征,并探讨了在青少年时期,生活事件的负面影响与抑郁症状之间关系的潜在调节作用。
375 名年轻人(11-16 岁)完成了前瞻性意象任务,并自我报告了焦虑和抑郁症状。他们还被要求描述过去一周一直在思考或想象的一个负面生活事件,然后由一名临床医生对其进行编码,判断该事件是没有影响、低影响、中影响还是高影响。
无论过去还是未来,抑郁症状与生动的积极意象较少和生动的消极意象较多有关,而焦虑症状与过去消极事件的生动度增加有关。对于那些对积极未来事件的生动度较差的人来说,生活事件严重程度与抑郁之间的关系更为密切。
这些数据仅在一个时间点收集,限制了对时间关系的结论。所有的测量方法也都是自我报告的,增加了共同的方法方差。
这些发现表明,负面生活事件与前瞻性积极意象之间的关系在青少年时期与抑郁症状有关,为加强心理干预的新方法提供了基础。