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早期创伤和近期应激源对抑郁、焦虑和愤怒的影响。

Effects Of Early Trauma and Recent Stressors on Depression, Anxiety, and Anger.

作者信息

Seok Bum Joon, Jeon Sehyun, Lee Jooyoung, Cho Seong-Jin, Lee Yu Jin, Kim Seog Ju

机构信息

Department of Psychiatry, Samsung Medical Center, Seoul, South Korea.

Department of Psychiatry, Korean University Anam Hospital, Seoul, South Korea.

出版信息

Front Psychiatry. 2020 Aug 4;11:744. doi: 10.3389/fpsyt.2020.00744. eCollection 2020.

Abstract

BACKGROUND

Early life traumatic events and recent stressful events are known to have especially strong effects on emotional wellbeing. However, little is known about the interaction of early and recent stressors on emotions. We aimed to examine the interactive effects of early trauma and recent stressors on depression, anxiety, and anger.

METHODS

One hundred and seventy adults were recruited and asked to complete the Center for Epidemiological Studies Depression Scale (CES-D), the state anxiety subscale of the State-Trait Anxiety Inventory (STAI-S), and the state anger subscale of the State-Trait Anger Expression Inventory (STAXI-S). Early traumas and recent stressors were assessed during face-to-face interviews. Multiple regression analysis was performed to test whether early trauma, recent stressors, and the interaction of the two would predict CES-D, STAI-S, and STAXI-S scores.

RESULTS

In the multiple regression models, STAI-S scores were predicted only by recent stressors ( = 0.063, 0.001). In contrast, CES-D and STAXI-S scores were predicted only by the synergistic interaction of early trauma with recent stressors ( = 0.075, 0.001; = 0.039, 0.01, respectively).

CONCLUSIONS

A synergistic interaction effect between early trauma and recent stressful events on current depression and anger was observed, indicating that the combined effects of early trauma and recent stressors are stronger than their individual effects. In contrast, anxiety was affected mainly by recent stressors. Our findings suggest that the form that emotional disturbance takes can vary depending on the timing of stressors.

摘要

背景

已知早年创伤事件和近期应激事件对情绪健康有特别强烈的影响。然而,对于早期和近期应激源在情绪方面的相互作用知之甚少。我们旨在研究早期创伤和近期应激源对抑郁、焦虑和愤怒的交互作用。

方法

招募了170名成年人,要求他们完成流行病学研究中心抑郁量表(CES-D)、状态-特质焦虑量表(STAI-S)的状态焦虑分量表以及状态-特质愤怒表达量表(STAXI-S)的状态愤怒分量表。在面对面访谈中评估早期创伤和近期应激源。进行多元回归分析,以检验早期创伤、近期应激源以及两者的交互作用是否能预测CES-D、STAI-S和STAXI-S得分。

结果

在多元回归模型中,STAI-S得分仅由近期应激源预测(=0.063,0.001)。相比之下,CES-D和STAXI-S得分仅由早期创伤与近期应激源的协同交互作用预测(分别为=0.075,0.001;=0.039,0.01)。

结论

观察到早期创伤和近期应激事件对当前抑郁和愤怒存在协同交互作用,表明早期创伤和近期应激源的综合作用强于其单独作用。相比之下,焦虑主要受近期应激源影响。我们的研究结果表明,情绪障碍的表现形式可能因应激源出现的时间而异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06a5/7418937/a738cc59f9a9/fpsyt-11-00744-g001.jpg

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