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生活压力模式与青少年沉思性抑郁的发展:一种以个人为中心的方法。

Patterns of life stress and the development of ruminative brooding in adolescence: A person-centered approach.

作者信息

Shaw Zoey A, Handley Elizabeth D, Warmingham Jennifer M, Starr Lisa R

机构信息

Department of Psychiatry, Boston Children's Hospital, Boston, MA, USA.

Harvard Medical School, Boston, MA, USA.

出版信息

Dev Psychopathol. 2024 Oct;36(4):1685-1697. doi: 10.1017/S0954579423000974. Epub 2023 Aug 17.

Abstract

Research links life stressors, including acute, chronic, and early life stress, to the development of ruminative brooding. However, singular forms of life stress rarely occur in isolation, as adolescents typically encounter stressors that vary on important dimensions (e.g., types, timings, quantities) across development. The current study employs latent profile analysis (LPA) to identify natural clusters of life stress that, over time, may be differently associated with ruminative brooding. Evaluations of episodic, chronic, and early life stress were conducted with community-recruited mid-adolescents ( = 241, = 15.90 years, 53% female) and their parents using the UCLA Life Stress Interview and lifetime adversity portions of the Youth Life Stress Interview. Analyses identified four distinct patterns: , , , and Adolescents in the and profiles were at highest risk for developing a brooding style over time. Despite high overall levels of stress, teens in the profile were at not at elevated risk for developing a brooding style. Findings demonstrate the utility of person-centered approaches to identify patterns of stress exposure that heighten risk for brooding over time.

摘要

研究将生活应激源,包括急性、慢性和早期生活应激,与沉思性抑郁的发展联系起来。然而,单一形式的生活应激很少单独出现,因为青少年在整个成长过程中通常会遇到在重要维度(如类型、时间、数量)上各不相同的应激源。当前的研究采用潜在剖面分析(LPA)来识别生活应激的自然聚类,随着时间的推移,这些聚类可能与沉思性抑郁有不同的关联。使用加州大学洛杉矶分校生活应激访谈以及青少年生活应激访谈中的终生逆境部分,对通过社区招募的青少年中期个体(n = 241,M = 15.90岁,53%为女性)及其父母进行了情景性、慢性和早期生活应激的评估。分析确定了四种不同的模式:A、B、C和D。随着时间的推移,处于A和B模式的青少年发展出沉思风格的风险最高。尽管总体应激水平较高,但处于C模式的青少年发展出沉思风格的风险并未升高。研究结果表明,以个体为中心的方法在识别随着时间推移会增加沉思风险的应激暴露模式方面具有实用性。

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