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Cognitive Vulnerabilities and Depression in Young Adults: An ROC Curves Analysis

机译:年轻人的认知脆弱性和抑郁感:ROC曲线分析

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Objectives and Methods. The aim of the present study was to evaluate, by means of receiver operating characteristic (ROC) curves, whether cognitive vulnerabilities (CV), as measured by three well-known instruments (the Beck Hopelessness Scale, BHS; the Life Orientation Test-Revised, LOT-R; and the Attitudes Toward Self-Revised, ATS-R), independently discriminate between subjects with different severities of depression. Participants were 467 young adults (336 females and 131 males), recruited from the general population. The subjects were also administered the Beck Depression Inventory-II (BDI-II). Results, Four first-order (BHS Optimism/Low Standard; BHS Pessimism; Generalized Self-Criticism; and LOT Optimism) and two higher-order factors (Pessimism/Negative Attitudes Toward Self, Optimism) were extracted using Principal Axis Factoring analysis. Although all first-order and second-order factors were able to discriminate individuals with different depression severities, the Pessimism factor had the best performance in discriminating individuals with moderate to severe depression from those with lower depression severity. Conclusion. In the screening of young adults at risk of depression, clinicians have to pay particular attention to the expression of pessimism about the future.
机译:目的和方法。本研究的目的是通过接受者工作特征(ROC)曲线评估是否通过三种著名的仪器(贝克·霍普无望量表,BHS;修订了生活方向测验)对认知脆弱性(CV)进行了评估。 ,LOT-R;以及对自我修订的态度(ATS-R),可以独立区分患有严重抑郁症程度不同的受试者。参与者是从一般人群中招募的467位年轻人(336位女性和131位男性)。受试者还接受了贝克抑郁量表-II(BDI-II)。结果,使用主轴因子分解分析提取了四个一阶(BHS乐观/低标准; BHS悲观;广义自我批评; LOT乐观)和两个高阶因素(悲观/对自我的负面态度,乐观)。尽管所有一阶和二阶因素都能够区分抑郁症严重程度不同的人,但悲观主义因素在区分中度至重度抑郁症患者与抑郁症严重程度较低的患者方面表现最佳。结论。在筛查有抑郁风险的年轻人时,临床医生必须特别注意对未来的悲观情绪。

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