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情绪动态前瞻性预测青少年抑郁症状:来自密集纵向数据的发现

Emotion dynamics prospectively predict depressive symptoms in adolescents: findings from intensive longitudinal data.

作者信息

Yang Yuting, Wang Jingyi, Lin Haijiang, Chen Xiaoxiao, Chen Yun, Kuang Jiawen, Yao Ye, Wang Tingting, Fu Chaowei

机构信息

School of Public Health, NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, 200032, China.

Taizhou City Center for Disease Control and Prevention, Taizhou, Zhejiang Province, China.

出版信息

BMC Psychol. 2025 Apr 15;13(1):386. doi: 10.1186/s40359-025-02699-9.

Abstract

BACKGROUND

The incidence of depression among adolescents has risen significantly over the past decade. Emotional dynamics, including variability, instability, and inertia of positive affect (PA) and negative affect (NA), are potential risk factors for depressive psychopathology. However, limited longitudinal evidence exists on how these emotion dynamics relate to depression, particularly in collectivistic cultural contexts, where emotional expression and regulation are shaped by social and familial expectations. This study aimed to investigate the longitudinal associations between emotion dynamics-variability, instability, and inertia of PA and NA-and subsequent depressive symptoms among Chinese adolescents.

METHODS

Data were collected from middle school students in Taizhou, China, between November 2021 and April 2022. Participants completed baseline surveys and experience sampling assessments, reporting their emotional states ten times daily over five consecutive weekdays. Depressive symptoms were assessed using the Children's Depression Inventory (CDI), while emotional dynamics (variability, instability, and inertia) were derived from the experience sampling data. Logistic regression models were employed to examine whether emotion dynamics predicted depressive symptoms at 1-month and 3-month follow-ups.

RESULTS

A total of 448 participants completed all study procedures and were included in the analysis. Emotional variability and instability in PA and NA were longitudinally associated with depressive symptoms at both 1-month and 3-month follow-ups. After controlling for mean affect levels, PA variability and instability, but not NA, were uniquely linked to depressive symptoms. Emotional inertia showed no significant association with subsequent depressive symptoms. Emotional variability and instability in PA and NA also predicted the development of new symptoms in adolescents without baseline depression (n = 372).

CONCLUSIONS

Emotional variability and instability of PA and NA were longitudinally associated with changes in depressive symptoms and the development of new symptoms among adolescents. These emotion dynamics provide insights into real-world emotional processing and offer important targets for adolescent depression interventions.

摘要

背景

在过去十年中,青少年抑郁症的发病率显著上升。情绪动态,包括积极情绪(PA)和消极情绪(NA)的变异性、不稳定性和惯性,是抑郁心理病理学的潜在风险因素。然而,关于这些情绪动态如何与抑郁症相关,纵向证据有限,特别是在集体主义文化背景下,情绪表达和调节受到社会和家庭期望的影响。本研究旨在调查中国青少年情绪动态(PA和NA的变异性、不稳定性和惯性)与随后的抑郁症状之间的纵向关联。

方法

于2021年11月至2022年4月在中国台州的中学生中收集数据。参与者完成了基线调查和经验抽样评估,在连续五个工作日内每天报告十次他们的情绪状态。使用儿童抑郁量表(CDI)评估抑郁症状,而情绪动态(变异性、不稳定性和惯性)则来自经验抽样数据。采用逻辑回归模型检查情绪动态是否能预测1个月和3个月随访时的抑郁症状。

结果

共有448名参与者完成了所有研究程序并纳入分析。在1个月和3个月的随访中,PA和NA的情绪变异性和不稳定性与抑郁症状纵向相关。在控制了平均情绪水平后,PA的变异性和不稳定性而非NA与抑郁症状有独特关联。情绪惯性与随后的抑郁症状无显著关联。PA和NA的情绪变异性和不稳定性也预测了无基线抑郁的青少年(n = 372)新症状的出现。

结论

PA和NA的情绪变异性和不稳定性与青少年抑郁症状的变化和新症状的出现纵向相关。这些情绪动态为现实世界中的情绪处理提供了见解,并为青少年抑郁症干预提供了重要靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2693/12001457/a39f82f88710/40359_2025_2699_Fig1_HTML.jpg

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