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预测抑郁症时理解青少年情绪清晰度和认知反应风格的组合:一项潜在类别分析

Understanding the Constellation of Adolescent Emotional Clarity and Cognitive Response Styles when Predicting Depression: A Latent Class Analysis.

作者信息

McArthur Brae Anne, Haas Liza M, Burke Taylor A, Johnson Lisa E, Olino Thomas M, Abramson Lyn Y, Alloy Lauren B

机构信息

Department of Psychology, Temple University, Philadelphia PA, USA.

Department of Psychology, University of Wisconsin-Madison, Madison, WI, USA.

出版信息

Cognit Ther Res. 2018;42:803-812. doi: 10.1007/s10608-018-9930-9. Epub 2018 Jun 13.

Abstract

Adolescence is a period of human development associated with increased emotional intensity and heightened vulnerability to developing psychopathology. This study used Latent Class Analysis to identify subgroups of youth based on emotional clarity and cognitive response styles. Participants were 436 adolescents (51.8% female; 48.2% African-American/Black, 47.4% Caucasian/White) who completed measures of emotional clarity, cognitive response styles, and depression at baseline ( = 13.02 years, = .83), and at a 1-year and 4-year follow-up. Four classes were identified and used to predict depression outcomes. Overall, youth with above average emotional clarity who reported using a variety of adaptive cognitive response styles also had the lowest level of depressive symptoms at baseline. Class membership did not predict depressive symptoms at any follow-up. The results suggest that the unique profiles based on youth reported levels of emotional clarity and use of problem solving, distraction, and rumination, may not be more predictive of depression outcomes, beyond earlier assessments of depression or by examining these facets in isolation.

摘要

青春期是人类发展的一个阶段,其特点是情绪强度增加,且更容易患上精神病理学疾病。本研究使用潜在类别分析,根据情绪清晰度和认知反应方式来识别青少年亚组。参与者为436名青少年(51.8%为女性;48.2%为非裔美国人/黑人,47.4%为白种人/白人),他们在基线时(平均年龄 = 13.02岁,标准差 = 0.83)、1年和4年随访时完成了情绪清晰度、认知反应方式和抑郁的测量。确定了四个类别,并用于预测抑郁结果。总体而言,情绪清晰度高于平均水平且报告使用多种适应性认知反应方式的青少年在基线时的抑郁症状水平也最低。类别归属在任何随访中均不能预测抑郁症状。结果表明,基于青少年报告的情绪清晰度水平以及问题解决、分心和沉思的使用情况所形成的独特特征,可能并不比早期的抑郁评估或单独检查这些方面更能预测抑郁结果。

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