Department of Counseling and Human Development, University of Louisville, Louisville, KY, USA.
Behav Cogn Psychother. 2022 Jan;50(1):122-126. doi: 10.1017/S1352465821000394. Epub 2021 Sep 27.
Elevated depressive symptoms are associated with impairments, reduced quality of life, and societal economic burden. A well-established stress-vulnerability model explaining depressive symptoms is Beck's cognitive theory (Beck, 1976). An independent line of research demonstrated that a person's perception of their status in comparison with others' (subjective social status, SSS) is a stressor associated with depressive symptoms.
Theory-driven research investigating the interplay of different factors associated with depressive symptoms opens the door to improve the lives of the affected individuals and to reduce the overall societal burden. This study's aim was to examine if SSS can be integrated as a stressor into Beck's theory, looking specifically at whether it impacts depressive symptoms through the individual components (self, world and future) of the cognitive triad.
In this cross-sectional study, 243 community college students (58.6% female; mean age 23.95 years) in the southern United States completed self-reports measuring SSS, negative views of the self, world and future, and depressive symptoms.
SSS is negatively associated with each view of the cognitive triad. SSS and views of the self and world are negatively associated with depressive symptoms. Mediation analyses displayed a significant direct effect between SSS and depressive symptoms, as well as two indirect effects via negative view of self and world.
While further research is needed, therapists might benefit from our findings when tailoring their treatment to a client by considering their SSS and which negative view is particularly detrimental for this specific client.
抑郁症状的升高与功能障碍、生活质量下降和社会经济负担有关。贝克的认知理论(Beck,1976)是一个成熟的解释抑郁症状的应激易损性模型。另一独立的研究表明,一个人与他人相比对自己地位的感知(主观社会地位,SSS)是与抑郁症状相关的应激源。
理论驱动的研究调查了与抑郁症状相关的不同因素的相互作用,为改善受影响个体的生活和减轻整个社会的负担打开了大门。本研究的目的是检验 SSS 是否可以作为应激源纳入贝克的理论,特别是研究它是否通过认知三联体的个体成分(自我、世界和未来)影响抑郁症状。
在这项横断面研究中,美国南部的 243 名社区大学生(58.6%为女性;平均年龄 23.95 岁)完成了自我报告,测量 SSS、对自我、世界和未来的负面看法以及抑郁症状。
SSS 与认知三联体的每个观点都呈负相关。SSS 以及对自我和世界的负面看法与抑郁症状呈负相关。中介分析显示 SSS 与抑郁症状之间存在显著的直接效应,以及通过自我和世界的负面看法的两个间接效应。
虽然还需要进一步的研究,但治疗师在为特定患者量身定制治疗方案时,可以考虑患者的 SSS 以及哪个负面看法对该特定患者特别有害,从而从我们的发现中受益。