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青少年的自我负面看法和抑郁症状。

Negative view of the self and symptoms of depression in adolescents.

机构信息

School of Psychology and Clinical Language Sciences, University of Reading, Earley Gate, Whiteknights Road, Reading RG6 6AL, United Kingdom.

School of Psychology and Clinical Language Sciences, University of Reading, Earley Gate, Whiteknights Road, Reading RG6 6AL, United Kingdom.

出版信息

J Affect Disord. 2020 Feb 1;262:143-148. doi: 10.1016/j.jad.2019.11.012. Epub 2019 Nov 3.

Abstract

BACKGROUND

Although negative self-evaluation is a common symptom of depression in adolescents, there is little understanding of how the self is associated with depression. Beck (1967) proposed that a negative view of the self was a 'hallmark' of depression. In contrast Linville (1985; 1987) proposed that holding multiple aspects of the self was associated with lower levels of depression. The aim of this paper is to evaluate these two models of self and depression in adolescents.

METHODS

Young people aged 13-18 years (n = 822) reported symptoms of depression (the Mood and Feelings Questionnaire) and completed a measure of self-concept, the Twenty Statements Test (TST). We coded responses to the TST to reflect the valance (positive to negative) and the complexity of their self-concept (number of self-aspects).

RESULTS

Valence, but not complexity, of self-concept was significantly associated with severity of depression symptoms. The valance of young people's self-concept accounted for 25% of the variance in depression symptoms. Adolescent's with more positive self-concept tended to have fewer symptoms of depression.

LIMITATIONS

The cross-sectional design of this study precludes any conclusions about the causal relationship between depression and negative self-evaluation; experimental and longitudinal research is needed to assess the causal direction of the relationship.

CONCLUSIONS

The results of this study supported the cognitive model of depression. Negative self-evaluation may constitute a risk factor for depression in adolescents and could offer a potential target for prevention and early intervention in adolescents.

摘要

背景

尽管负面自我评价是青少年抑郁的常见症状,但人们对自我与抑郁之间的关系知之甚少。贝克(1967)提出,对自我的负面看法是抑郁的“标志”。相比之下,林维尔(1985 年;1987 年)提出,持有自我的多个方面与较低水平的抑郁有关。本文旨在评估这两种自我和青少年抑郁模型。

方法

年龄在 13-18 岁的年轻人(n=822)报告了抑郁症状(情绪和感觉问卷),并完成了自我概念量表,即二十项测试(TST)。我们对 TST 的回答进行编码,以反映自我概念的效价(积极到消极)和复杂性(自我方面的数量)。

结果

自我概念的效价,而不是复杂性,与抑郁症状的严重程度显著相关。年轻人自我概念的效价解释了抑郁症状变异的 25%。自我概念更积极的青少年往往抑郁症状较少。

局限性

本研究的横断面设计排除了抑郁和负面自我评价之间因果关系的任何结论;需要进行实验和纵向研究来评估这种关系的因果方向。

结论

本研究的结果支持了抑郁的认知模型。负面自我评价可能是青少年抑郁的一个风险因素,并为青少年的预防和早期干预提供了一个潜在的目标。

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