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亲密关系与抑郁:发展性级联方法。

Close relationships and depression: A developmental cascade approach.

机构信息

Department of Human Development and Family Studies,Auburn University,Auburn,AL, USA.

Department of Psychology,University of Minnesota,Minneapolis,MN, USA.

出版信息

Dev Psychopathol. 2019 Oct;31(4):1451-1465. doi: 10.1017/S0954579418001037.

Abstract

Previous research has shown that problematic parent-child, peer, and romantic partner relationships are associated with an increased likelihood for major depressive disorder (MDD). Less research has evaluated the developmental unfolding of how these interpersonal relationship features are both an antecedent versus a consequence of MDD symptoms from adolescence through young adulthood. These gaps were evaluated using a large community sample (N = 1,127; 54% female, 96% white) via a developmental cascade model. Results showed support for significant antecedent effects, as greater parent-child relationship problems at ages 11 and 17 predicted rank-order increases in MDD symptoms at ages 14 and 20. Supporting a developmental cascade of problematic social relationships, greater parent-child relationship problems at ages 11 and 14 also predicted greater subsequent rank-order increases in antisocial peer affiliation at ages 14 and 17. Greater affiliation to antisocial peers at age 20 predicted greater rank-order increases in romantic relationship problems at age 24, which in turn predicted greater MDD symptoms at age 29. Cross-effects were generally small (βs ≤ .16), illustrating other factors may be relevant to the development or consequences of MDD. Nonetheless, findings support the importance of efforts to strengthen social support networks to offset risk as well as potentially treat depression.

摘要

先前的研究表明,亲子关系、同伴关系和恋爱关系出现问题与重度抑郁症(MDD)的发病几率增加有关。但很少有研究评估这些人际关系特征在青少年到成年早期期间,既是 MDD 症状的一个成因,又是其结果的发展过程。本研究通过发展级联模型,利用一个大型社区样本(N=1127;54%为女性,96%为白人)评估了这些差距。结果表明,亲子关系问题存在显著的先行效应,即 11 岁和 17 岁时亲子关系问题越大,14 岁和 20 岁时 MDD 症状的严重程度呈等级递增。支持有问题的社会关系的发展级联,11 岁和 14 岁时的亲子关系问题越大,14 岁和 17 岁时与反社会同伴的联系随后呈等级递增。20 岁时与反社会同伴的联系越密切,24 岁时与恋爱关系的问题越严重,29 岁时 MDD 症状越严重。交叉效应通常较小(β值≤.16),这表明其他因素可能与 MDD 的发展或后果有关。尽管如此,这些发现支持了加强社会支持网络的重要性,以抵消风险并可能治疗抑郁症。

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