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测试抑郁、神经质和生活压力事件相互作用的解释模型:一种动态特质-应激产生方法。

Testing explanatory models of the interplay between depression, neuroticism, and stressful life events: a dynamic trait-stress generation approach.

机构信息

Department of Psychology, Stony Brook University, NY, USA.

Department of Psychiatry, University of Connecticut School of Medicine, CT, USA.

出版信息

Psychol Med. 2020 Dec;50(16):2780-2789. doi: 10.1017/S0033291719002927. Epub 2019 Oct 16.

Abstract

BACKGROUND

Classic conceptual frameworks explaining the relationship of personality traits to depression include the precursor and predisposition models. The former hypothesizes that depression is predicted by traits alone whereas the latter hypothesizes that stress, together with personality, predicts depression. Dynamic vulnerability models (DVM) expand on these perspectives by incorporating fluctuations in personality over time. The stress generation model provides an alternative view, positing that depression generates stress, creating a self-perpetuating cycle. However, these conceptual models are rarely directly compared.

METHOD

We tested these models, focusing on neuroticism and stressful life events that the participant may have contributed to, using path analysis in a sample of 550 never-depressed, adolescent females assessed five times over 3 years.

RESULTS

A dynamic precursor model with stress generation was best supported. For the precursor component, neuroticism predicted subsequent depression across four assessment intervals. For the dynamic trait component, stressful life events predicted subsequent neuroticism at three of four intervals. Finally, in line with stress generation, depression consistently predicted subsequent stressful life events, and life events then predicted depression.

CONCLUSIONS

Finding support for the DVM is noteworthy, as this is the first comprehensive test of this model. Moreover, results supported integrating stress generation with trait vulnerability. Continued use of integrated approaches and refining the statistical implementation of these theories is necessary to advance understanding of the development of depression.

摘要

背景

解释人格特质与抑郁关系的经典概念框架包括前因和倾向模型。前者假设抑郁仅由特质预测,而后者假设压力与人格共同预测抑郁。动态脆弱性模型(DVM)通过纳入人格随时间的波动扩展了这些观点。应激产生模型提供了另一种观点,即抑郁产生应激,形成自我延续的循环。然而,这些概念模型很少被直接比较。

方法

我们使用路径分析,在一个由 550 名从未抑郁的青春期女性组成的样本中,对这些模型进行了测试,该样本在 3 年内进行了五次评估。

结果

具有应激产生的动态前因模型得到了最好的支持。在前因成分中,神经质在四个评估间隔中均预测了随后的抑郁。在动态特质成分中,生活压力事件在四个间隔中的三个预测了随后的神经质。最后,与应激产生一致,抑郁一致预测了随后的生活压力事件,而生活事件随后又预测了抑郁。

结论

支持 DVM 的发现是值得注意的,因为这是对该模型的首次全面测试。此外,结果支持将应激产生与特质脆弱性相结合。为了深入了解抑郁的发展,需要继续使用综合方法并改进这些理论的统计实施。

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