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家庭支持:对缓解期和未缓解期抑郁个体的破坏性事件的一种可能缓冲。

Family support: A possible buffer against disruptive events for individuals with and without remitted depression.

机构信息

Department of Psychiatry and Behavioral Sciences, Stanford University.

Department of Psychiatry, The University of Illinois at Chicago.

出版信息

J Fam Psychol. 2018 Oct;32(7):926-935. doi: 10.1037/fam0000451. Epub 2018 Sep 6.

Abstract

The current study sought to test the role of family support as a buffer of life stress for depressive symptoms in a sample of young adults at low- and high-risk for depression based on a previous history of depression. Ninety-seven young adults, 54 with remitted depression and 43 without prior history of depression, completed reports of family relationships, disruptive life events, and depressive symptoms at baseline and every 2 months for 10 months. Results revealed significant interactions between family environment and life events predicting Beck Depressive Inventory (BDI) scores at baseline, such that individuals with better family support were buffered from risk associated with life stress, and this was true even after accounting for a previous history of depression. Longitudinal analyses utilizing the Patient Health Questionnaire-9 (PHQ-9) as a depressive symptom measure did not find significant associations with family environment, but did find that more stressful events at baseline were associated with increasing levels of symptoms over time. Exploratory analyses suggest that discrepant findings for baseline versus longitudinal analyses may be due to differences in symptom measurement and to associations between family environment and cognitive features of depression. These findings provide qualified support for the continued relevance of families as stress buffers in young adulthood across a spectrum of risk for depression. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

摘要

本研究旨在检验家庭支持作为生活压力缓冲因素对于抑郁症状的作用,研究对象为基于既往抑郁史分为低风险和高风险的年轻成年人。97 名年轻成年人,54 名抑郁缓解,43 名无既往抑郁史,在基线和接下来的 10 个月内每两个月完成一次家庭关系、生活事件和抑郁症状报告。结果显示,家庭环境和生活事件对贝克抑郁量表(BDI)评分的预测存在显著交互作用,即家庭支持较好的个体可以缓冲与生活压力相关的风险,即使考虑到既往抑郁史也是如此。利用患者健康问卷-9(PHQ-9)作为抑郁症状测量的纵向分析并未发现与家庭环境的显著关联,但确实发现基线时更多的压力事件与随时间推移症状水平的增加有关。探索性分析表明,基线与纵向分析之间的不一致结果可能是由于症状测量的差异以及家庭环境与抑郁认知特征之间的关联。这些发现为家庭作为抑郁高发年轻成年人压力缓冲因素的持续相关性提供了一定支持。(APA,2018 年,所有权利保留)。

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