Department of Psychological Methodology and Assessment, Ludwig-Maximilians-University Munich, Germany.
Department of Psychiatry and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany.
Psychol Psychother. 2020 Mar;93(1):21-35. doi: 10.1111/papt.12205. Epub 2018 Nov 28.
Previous research showed that positive and negative life events influence the development of depression. However, it is less clear how life events interact with depressive symptoms and self-esteem.
The present study aimed to investigate the mediating effects of self-esteem on the relationship between life events and depressive symptoms in adulthood. The Traumatic Antecedent Questionnaire, Multidimensional Self-esteem Scale (MSWS), and Becks Depression Inventory were administered in 173 psychiatric inpatients (mean age 39.69 ± 14.56 years, ranging from 18 to 76 years). At the time of assessment, all patients suffered from depressive symptoms caused by an affective disorder (major depression, bipolar I, dysthymia).
Path analyses showed that the individual level of self-esteem (measured by MSWS) fully mediated the association between positive life events and depressive symptoms.
The current study indicates that future therapy programmes for patients with depressive symptoms could include interventions focusing on the improvement of self-esteem, as increasing self-esteem may be beneficial for recovery.
To date, this is the first study exploring the pathways from positive/negative life events to depressive symptoms. The relationship between positive life experiences and depressive symptoms was fully mediated by self-esteem. Strengthening self-esteem in therapy might lower the vulnerability for depression.
先前的研究表明，正性和负性生活事件会影响抑郁的发展。然而，生活事件如何与抑郁症状和自尊相互作用还不太清楚。
本研究旨在探讨自尊在成年期生活事件与抑郁症状之间的关系中的中介作用。在 173 名精神科住院患者（平均年龄 39.69±14.56 岁，年龄 18-76 岁）中进行了创伤前问卷、多维自尊量表（MSWS）和贝克抑郁量表的评估。在评估时，所有患者都患有由情感障碍（重性抑郁、双相 I 型、恶劣心境）引起的抑郁症状。
路径分析表明，自尊的个体水平（由 MSWS 测量）完全中介了正性生活事件与抑郁症状之间的关联。
目前的研究表明，未来针对抑郁症状患者的治疗方案可以包括专注于提高自尊的干预措施，因为提高自尊可能对康复有益。
迄今为止，这是第一项探索正/负性生活事件与抑郁症状之间关系的研究。积极生活经历与抑郁症状之间的关系完全由自尊介导。在治疗中增强自尊可能会降低抑郁的易感性。
