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作为青少年未来抑郁症状的预测指标,反复消极思维比孤独感和缺乏社交联系更具预测力。

Repetitive Negative Thinking outperforms loneliness and lack of social connectedness as a predictor of prospective depressive symptoms in adolescents.

作者信息

Raes Filip, Bastin Margot, Pede Tina, Belmans Eline, Goossens Luc, Vanhalst Janne

机构信息

Research Unit Behaviour, Health and Psychopathology, KU Leuven, Belgium.

Research Unit School Psychology and Development in Context, KU Leuven, Belgium.

出版信息

Scand J Child Adolesc Psychiatr Psychol. 2020 Oct 3;8:149-156. doi: 10.21307/sjcapp-2020-015. eCollection 2020.

Abstract

BACKGROUND

Repetitive Negative Thinking (RNT) is a well-established predictor in adolescents of emotional problems, such as depression. Surprisingly little research, however, has looked at the relative importance of RNT vs. more interpersonally relevant variables in the context of depression, such as loneliness and lack of social connectedness.

OBJECTIVE

The present study, therefore, set out to examine whether RNT is a significant predictor when taking into account the contribution of loneliness and social connectedness.

METHODS

A sample of 135 typically developing adolescents ( = 135; 79.3% girls; = 17.5; range 16-21) completed measures of depressive symptoms, RNT, loneliness and social connectedness at two time points with a 3-month interval.

RESULTS

Results showed that above and beyond baseline depressive symptoms, RNT was the only other significant predictor of prospective depressive symptoms.

CONCLUSIONS

According to these results, RNT seems a relatively more important factor to consider in the context of adolescent depression than factors in the interpersonal or social context. Consequently, targeting RNT might be expected to yield more significant gains in reducing or preventing depressive symptoms in adolescents compared to focusing on feelings of loneliness or social connectedness - a hypothesis that remains to be tested.

摘要

背景

反复消极思维(RNT)是青少年情绪问题(如抑郁症)的一个公认预测指标。然而,令人惊讶的是,很少有研究探讨在抑郁症背景下,RNT与其他更具人际相关性的变量(如孤独感和缺乏社会联系)相比的相对重要性。

目的

因此,本研究旨在探讨在考虑孤独感和社会联系的影响时,RNT是否是一个重要的预测指标。

方法

选取135名发育正常的青少年(n = 135;79.3%为女孩;M = 17.5;年龄范围16 - 21岁)作为样本,在两个时间点(间隔3个月)完成抑郁症状、RNT、孤独感和社会联系的测量。

结果

结果表明,除了基线抑郁症状外,RNT是前瞻性抑郁症状的唯一其他重要预测指标。

结论

根据这些结果,在青少年抑郁症背景下,RNT似乎是一个比人际或社会背景因素相对更重要的因素需要考虑。因此,与关注孤独感或社会联系相比,针对RNT可能有望在减少或预防青少年抑郁症状方面取得更显著的成效——这一假设仍有待验证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f78f/7863726/44eba9fe5e5e/sjcapp-08-015-g001.jpg

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