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对依赖压力可控性和严重程度的评估与青少年的抑郁和焦虑症状有关。

Appraisals of dependent stressor controllability and severity are associated with depression and anxiety symptoms in youth.

机构信息

a Department of Neuroscience , Brandeis University , Waltham , MA , USA.

b Department of Psychology , University of Illinois at Urbana-Champaign , Champaign , IL , USA.

出版信息

Anxiety Stress Coping. 2019 Jan;32(1):32-49. doi: 10.1080/10615806.2018.1532504. Epub 2018 Oct 10.

Abstract

BACKGROUND AND OBJECTIVES

Stress is well established as a strong risk factor for internalizing psychopathology. Learned helplessness research demonstrates that perceived controllability of stressors affects internalizing symptoms. Furthermore, subjective perceived stress is associated with psychopathology. However, most recent research has focused on measuring the frequency and expert-rated severity of stressful life events despite evidence for the importance of stress perceptions. The present study brings together past and current literatures to investigate the importance of perceived severity and controllability of recent life events in the association between stressors and internalizing symptoms.

DESIGN AND METHODS

We used a revised version of the Adolescent Life Events Questionnaire (ALEQ) that asked participants (ages 13-22, N = 328) to rate the frequency of 65 stressful events typical to youth, as well as the perceived stressfulness and control they felt over each event. Events were categorized prior to analysis as dependent (self-generated), independent (fateful) or neither.

RESULTS

Controllability and severity appraisals were associated with depression and anxiety symptoms, controlling for stressor frequency (which also predicted symptoms), for dependent but not independent stressors.

CONCLUSIONS

These results highlight the importance of controllability and severity appraisals as potential risk factors for internalizing disorders, exposing a potential target for therapy.

摘要

背景与目的

压力是导致内化性精神病理学的一个强有力的危险因素,这已得到充分证实。习得性无助研究表明,压力源的可感知可控性会影响内化症状。此外,主观感知压力与精神病理学有关。然而,尽管有证据表明压力感知的重要性,但大多数最新的研究都集中在测量压力性生活事件的频率和专家评定的严重程度上。本研究汇集了过去和当前的文献,以调查近期生活事件的感知严重程度和可控制性在压力源与内化症状之间的关联中的重要性。

设计与方法

我们使用了修订版的青少年生活事件问卷(ALEQ),要求参与者(年龄 13-22 岁,N=328)对 65 个典型的青少年压力事件的频率进行评分,以及他们对每个事件的感知压力和控制程度。在分析之前,将事件分类为依赖(自我产生)、独立(命中注定)或两者都不是。

结果

可控性和严重程度的评估与抑郁和焦虑症状相关,这与压力源频率(也可预测症状)有关,但与依赖但不独立的压力源有关。

结论

这些结果强调了可控性和严重程度评估作为内化障碍的潜在危险因素的重要性,为治疗提供了一个潜在的目标。

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