Hopelessness and depressive symptoms in children and adolescents: An integrative data analysis.

IF 4.6 1区心理学 Q1 Medicine

Journal of abnormal psychology Pub Date : 2021-08-01 DOI:10.1037/abn0000667

Qimin Liu, Nina C Martin, Robert L Findling, Eric A Youngstrom, Judy Garber, John F Curry, Janet S Hyde, Marilyn J Essex, Bruce E Compas, Ian M Goodyer, Paul Rohde, Kevin D Stark, Marcia J Slattery, Rex Forehand, David A Cole

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引用次数: 3

Abstract

Although hopelessness has been linked to depression for centuries, the diagnostic criteria for depression are inconsistent with regard to the status of hopelessness. Most research on hopelessness and depression has focused on adults. The current study examined this relation in children and adolescents. Integrative data analyses with a pooled sample (N = 2466) showed that clinical levels of hopelessness multiplied the odds of having a clinical diagnosis of depression 10-fold. Conversely, not having clinical levels of hopelessness multiplied the odds of endorsing no clinical level of depressive symptoms 28-fold. Moreover, results differed by levels of depression: (a) among youths with clinical levels of depression, hopelessness was associated with six depressive symptoms; (b) among youths without clinical levels of depression, hopelessness was associated with nine depressive symptoms. We found that hopelessness helps to explain the heterogeneity of depressive presentations. Our finding supports the consideration of hopelessness in the diagnosis (if not treatment and prevention) of depression in children and adolescents. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

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儿童和青少年绝望和抑郁症状:一项综合数据分析

尽管几个世纪以来，人们一直将绝望与抑郁症联系在一起，但关于绝望的状态，抑郁症的诊断标准并不一致。大多数关于绝望和抑郁的研究都集中在成年人身上。目前的研究调查了儿童和青少年的这种关系。合并样本(N = 2466)的综合数据分析显示，临床绝望水平使临床诊断为抑郁症的几率增加了10倍。相反，没有临床水平的绝望使没有临床水平的抑郁症状的几率增加了28倍。此外，结果因抑郁程度而异:(a)在临床抑郁水平的青年中，绝望与六种抑郁症状有关;(b)在没有临床抑郁程度的青少年中，绝望与九种抑郁症状有关。我们发现绝望有助于解释抑郁症表现的异质性。我们的发现支持在儿童和青少年抑郁症的诊断(如果不是治疗和预防)中考虑绝望。(PsycInfo Database Record (c) 2021 APA，版权所有)。

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Journal of abnormal psychology Multiple-

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期刊介绍： The Journal of Abnormal Psychology® publishes articles on basic research and theory in the broad field of abnormal behavior, its determinants, and its correlates. The following general topics fall within its area of major focus: - psychopathology—its etiology, development, symptomatology, and course; - normal processes in abnormal individuals; - pathological or atypical features of the behavior of normal persons; - experimental studies, with human or animal subjects, relating to disordered emotional behavior or pathology; - sociocultural effects on pathological processes, including the influence of gender and ethnicity; and - tests of hypotheses from psychological theories that relate to abnormal behavior.