Gotlib I H, Lewinsohn P M, Seeley J R, Rohde P, Redner J E
Department of Psychology, Northwestern University, Evanston, Illinois 60208.
J Abnorm Psychol. 1993 Nov;102(4):607-15. doi: 10.1037//0021-843x.102.4.607.
Despite recent findings that the prevalence of unipolar depression is as high in adolescents as it is in adults, relatively little is known about the applicability of cognitive theories of depression to adolescents. The present study examined the nature, specificity, and stability of cognitive dysfunction in male and female depressed, remitted, and psychiatric control adolescents. Factor analysis of a diverse set of measures yielded two factors, labelled Negative Cognitions and Attributional Style. Scores on both these factors were related to a current diagnosis of depression. Results also indicated that there may not be complete recovery of cognitive functioning (or of depressed mood) with diagnostic remission of depression. Finally, whereas elevated scores on the Negative Cognitions factor appeared to be specific to depression, the depressed and psychiatric control adolescents did not differ with respect to their scores on the Attributional Style factor.
尽管最近有研究发现，青少年中单相抑郁症的患病率与成年人一样高，但对于抑郁症认知理论在青少年中的适用性却知之甚少。本研究考察了抑郁、康复以及精神科对照的青少年男性和女性认知功能障碍的性质、特异性和稳定性。对一系列不同测量指标进行因素分析得出了两个因素，分别标记为消极认知和归因方式。这两个因素的得分都与当前的抑郁症诊断相关。结果还表明，随着抑郁症诊断缓解，认知功能（或抑郁情绪）可能不会完全恢复。最后，虽然消极认知因素得分升高似乎是抑郁症特有的，但抑郁青少年和精神科对照青少年在归因方式因素上的得分没有差异。
