Rudolph K D, Hammen C, Burge D
Department of Psychology, University of California, Los Angeles 90024.
J Abnorm Child Psychol. 1994 Jun;22(3):355-71. doi: 10.1007/BF02168079.
Research has supported linkages between depression and social impairment in youngsters, but has often focused on depressive symptoms in isolation. We collected data on depressive, anxiety, and externalizing symptoms in 161 school children. Information about interpersonal competence was gathered from several sources, including children, teachers, and behavioral observations. Depressive symptoms were found to be related to difficulties in multiple areas of competence, including maladaptive social problem-solving styles, conflict-negotiation and affect-regulation deficits, and peer rejection. Comparisons of the relative contributions made by depressive and anxiety symptoms to the prediction of functioning yielded some evidence for a specific relation between depressive symptoms and impairment. Children with cooccurring internalizing and externalizing symptoms generally suffered from the most social dysfunction. If replicated in clinical samples, findings such as these may help to guide intervention efforts with depressed children.
研究证实了青少年抑郁症与社交障碍之间的联系，但通常只孤立地关注抑郁症状。我们收集了161名学童的抑郁、焦虑和外化症状数据。从多个来源收集了关于人际能力的信息，包括儿童、教师和行为观察。研究发现，抑郁症状与多个能力领域的困难有关，包括适应不良的社会问题解决方式、冲突谈判和情感调节缺陷，以及同伴排斥。比较抑郁症状和焦虑症状对功能预测的相对贡献，为抑郁症状与功能障碍之间的特定关系提供了一些证据。同时出现内化和外化症状的儿童通常存在最严重的社会功能障碍。如果这些发现在临床样本中得到重复，可能有助于指导对抑郁儿童的干预工作。
