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A prospective study of the cognitive-stress model of depressive symptoms in adolescents

机译:青少年抑郁症状认知应激模型的前瞻性研究

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摘要

This prospective study investigated a cognitive diathesis–stress model of depression in adolescents across the transition from 6th to 7th grade using individual, additive, weakest link, and keystone approaches to operationalizing the cognitive vulnerability. Participants were 240 young adolescents (mean age = 11.87 years, SD = 0.57) who differed in risk for mood disorders based on their mother’s history of depression. Results of the hierarchical multiple regression analyses indicated some support for the individual, additive, weakest link, and keystone diatheses. In particular, the weakest link diathesis interacted with stress and gender to predict increases in depressive symptoms in 7th grade; the form of this interaction was consistent with the cognitive diathesis–stress model for boys, whereas for girls the pattern of relations reflected more of a dual-vulnerability model. That is, high levels of depressive symptoms were found for all girls except those with more positive cognitive styles and low stress levels. These findings highlight the utility of examining different approaches to combining measures of cognitive vulnerability in conjunction with stress in predicting depressive symptoms, and the importance of exploring gender differences with regard to the cognitive diathesis–stress model.
机译:这项前瞻性研究调查了从6年级到7年级转变的青少年抑郁的认知素质-压力模型,使用个体,累加,最弱的联系和关键方法来实现认知脆弱性。参加者为240名青少年(平均年龄= 11.87岁,SD = 0.57),根据母亲的抑郁史,他们患情绪障碍的风险有所不同。分层多元回归分析的结果表明对个体,加性,最弱环节和基石素质有一定的支持。特别是,最弱的链接素质与压力和性别相互作用,以预测7年级学生抑郁症状的增加。这种互动的形式与男孩的认知素质-压力模型相一致,而女孩的关系模式则更多地反映了双重脆弱性模型。也就是说,除了那些具有更积极的认知方式和较低的压力水平的女孩以外,所有女孩都发现了高水平的抑郁症状。这些发现突显了检验将认知脆弱性与压力结合起来以预测抑郁症状的不同方法的实用性,以及探索关于认知素质-压力模型的性别差异的重要性。

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