自我调节对社区青年抑郁症状的影响

Eleenor Abraham, Tara McAuley
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引用次数: 0

摘要

目的:抑郁症在青少年中普遍存在,并对其当前和未来的功能产生影响。抑郁症的风险取决于年轻人如何试图调节他们的情感体验(情绪调节;ER)以及他们使用高阶认知能力来努力实现目标的有效性(执行功能;EF)。根据受损的脱离假设,当无效的电刺激导致依赖于不适应的电刺激形式(如反刍)时,抑郁可能会出现。本研究调查了反刍、其他内质网策略和EF挑战作为青少年抑郁症状的相关预测因素。方法:191名11-18岁的社区青年(M = 13.47, SD = 1.48,女性108人,白人48%,黑人5%,西班牙裔5%,其他42%)完成了他们的心理健康、急诊策略和在日常生活中应用EF能力的自我报告。结果:在女性青少年中,抑郁症的发生率升高,这些青少年认同较高水平的ef挑战,更多的处置性使用适应性不良的ER,以及较少的处置性使用适应性ER。青少年EF挑战与抑郁症状的关联减弱,在考虑抑郁症状与使用自责反刍、灾难化、表达抑制和积极重新评价之间关联的多变量模型中不再显著。结论:早期识别增加青少年抑郁风险的自我调节因素,包括日常EF挑战的经历和对不良ER形式的依赖,有可能指导预防和治疗工作,减轻青少年和成年期抑郁症的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Self-regulatory contributions to depressive symptoms in a community sample of youth

Objective

Depression is prevalent in youth, with concerning implications for their current and future function. Risk for depression is elevated pending how youth attempt to regulate their affective experiences (emotion regulation; ER) and the effectiveness with which they use higher-order cognitive abilities to work towards and attain their goals (executive functions; EF). According to the impaired disengagement hypothesis, depression may arise when ineffective EFs lead to reliance on maladaptive forms of ER—such as rumination. This study investigates rumination, other ER strategies, and EF challenges as correlated predictors of depressive symptoms in youth. Method: A community sample of 191 youth 11–18 years (M = 13.47, SD = 1.48, 108 females, 48 % White, 5 % Black, 5 % Hispanic, 42 % Other) completed self-report measures of their mental health, ER strategies, and ability to apply EF abilities in their everyday lives. Results: Depression was elevated in youth who identified as female and who endorsed higher levels of EF-challenge, greater dispositional use of maladaptive ER, and lesser dispositional use of adaptive ER. The association of youths’ EF challenges and depressive symptoms was attenuated and no longer significant in a multivariate model that considered the association between their depressive symptoms and use of self-blaming rumination, catastrophizing, expressive suppression, and positive reappraisal. Conclusions: Early identification of self-regulatory factors that increase youths’ risk of depression, including the experience of everyday EF challenges and reliance on maladaptive forms of ER, has potential to guide prevention and treatment efforts that mitigate the effects of depression in adolescence and adulthood.
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