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Prevalence of Antenatal Depression and Associated Risk Factors among Pregnant Women Attending Antenatal Clinics in Abeokuta North Local Government Area, Nigeria 尼日利亚阿贝奥库塔北部地方政府区产前诊所孕妇产前抑郁患病率及相关危险因素
Q1 Psychology Pub Date : 2016-08-18 DOI: 10.1155/2016/4518979
Okechukwu Thompson, I. Ajayi
Objective. The prevalence of antenatal depression (AD) and associated risk factors among pregnant women attending antenatal clinics in Abeokuta North Local Government Area, Nigeria, was determined. Methods. A descriptive cross-sectional survey was conducted, interviewing 314 pregnant women selected by multistage sampling technique from among those attending antenatal clinics. Information was collected using structured questionnaire and a screening tool, Edinburgh Postnatal Depression Scale (EPDS), to assess probable depression. Results. The prevalence of antenatal depression was 24.5%. There were significant associations between antenatal depression and attending public health facility (P = 0.000), young maternal age (P = 0.012), single marital status (P = 0.010), not having formal education (P = 0.022), large family size (P = 0.029), planned pregnancy (P = 0.014), coexisting medical conditions (P = 0.034), history of previous caesarian section (P = 0.032), drinking alcohol during pregnancy (P = 0.004), and gender based abuse (P = 0.001). On health seeking behaviour for antenatal depression among depressed pregnant women, most, 68.9%, consulted their husbands about their symptoms; 57.3% took the decision to get treatment from doctors, and 52% sought prayer in the church. Conclusion. Antenatal depression is prevalent in this study population. Interventions to address its risk factors should be carried out and physicians should suspect depression in pregnant women reporting alcohol use and gender abuse.
目标。确定了在尼日利亚阿贝奥库塔北部地方政府区产前诊所就诊的孕妇中产前抑郁症(AD)的患病率及相关危险因素。方法。采用多阶段抽样方法,从产前门诊就诊的孕妇中选取314名孕妇进行描述性横断面调查。信息收集采用结构化问卷和筛选工具,爱丁堡产后抑郁量表(EPDS),以评估可能的抑郁症。结果。产前抑郁患病率为24.5%。产前抑郁与到公共卫生机构就诊(P = 0.000)、产妇年龄小(P = 0.012)、单身婚姻状况(P = 0.010)、未接受过正规教育(P = 0.022)、家庭人口多(P = 0.029)、计划怀孕(P = 0.014)、并存的医疗状况(P = 0.034)、曾经剖腹产(P = 0.032)、怀孕期间饮酒(P = 0.004)和基于性别的虐待(P = 0.001)之间存在显著关联。在抑郁孕妇因产前抑郁而寻求保健的行为方面,大多数(68.9%)向丈夫咨询了自己的症状;57.3%的人决定找医生治疗,52%的人去教堂祈祷。结论。产前抑郁在本研究人群中很普遍。应采取干预措施解决其风险因素,医生应怀疑报告饮酒和性别虐待的孕妇患有抑郁症。
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引用次数: 86
Psychometric Limitations of the Center for Epidemiologic Studies-Depression Scale for Assessing Depressive Symptoms among Adults with HIV/AIDS: A Rasch Analysis 流行病学研究中心抑郁量表用于评估成人HIV/AIDS患者抑郁症状的心理测量局限性:皮疹分析
Q1 Psychology Pub Date : 2016-03-03 DOI: 10.1155/2016/2824595
C. Gay, A. Kottorp, A. Lerdal, Kathryn A. Lee
The Center for Epidemiological Studies-Depression (CES-D) scale is a widely used measure of depressive symptoms, but its psychometric properties have not been adequately evaluated among adults with HIV/AIDS. This study used an item response theory approach (Rasch analysis) to evaluate the CES-D's validity and reliability in relation to key demographic and clinical variables in adults with HIV/AIDS. A convenience sample of 347 adults with HIV/AIDS (231 males, 93 females, and 23 transgenders; age range 22–77 years) completed the CES-D. A Rasch model application was used to analyze the CES-D's rating scale functioning, internal scale validity, person-response validity, person-separation validity, internal consistency, differential item functioning (DIF), and differential test functioning. CES-D scores were generally high and associated with several demographic and clinical variables. The CES-D distinguished 3 distinct levels of depression and had acceptable internal consistency but lacked unidimensionality, five items demonstrated poor fit to the model, 15% of the respondents demonstrated poor fit, and eight items demonstrated DIF related to gender, race, or AIDS diagnosis. Removal of misfitting items resulted in minimal improvement in the CES-D's substantive and structural validity. CES-D scores should be interpreted with caution in adults with HIV/AIDS, particularly when comparing scores across gender and racial groups.
流行病学研究中心抑郁量表(CES-D)是一种广泛使用的抑郁症状测量方法,但其心理测量特性尚未在成年艾滋病毒/艾滋病患者中得到充分评估。本研究采用项目反应理论方法(Rasch分析)来评估成人HIV/AIDS患者的CES-D在关键人口学和临床变量方面的效度和信度。方便样本为347名成年HIV/AIDS患者(231名男性,93名女性,23名变性人);年龄介乎22至77岁)完成了cse - d测试。采用Rasch模型分析ce - d量表功能、内部效度、人-反应效度、人-分离效度、内部一致性、差异项目功能(DIF)和差异测试功能。CES-D评分普遍较高,并与几个人口统计学和临床变量相关。ce - d区分了3个不同的抑郁水平,具有可接受的内部一致性,但缺乏单维性,5个项目与模型拟合不佳,15%的受访者表现为拟合不佳,8个项目表现出与性别、种族或艾滋病诊断相关的DIF。删除不合适的项目对CES-D的实质和结构有效性的改善微乎其微。在成人HIV/AIDS患者中,应谨慎解释CES-D分数,特别是在比较不同性别和种族群体的分数时。
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引用次数: 33
A Possible Role of Anhedonia as Common Substrate for Depression and Anxiety 快感缺乏作为抑郁和焦虑的共同基础的可能作用
Q1 Psychology Pub Date : 2016-03-02 DOI: 10.1155/2016/1598130
L. Grillo
Depression and anxiety are often comorbid, in up to 70% of cases, and the level of one or the other may fluctuate, leading now to a diagnosis of depression, now to a diagnosis of anxiety. For these reasons, and for the presence of many other common factors, it has been suggested that both are part of the same continuum of problems and that they have a common substrate. This paper proposes the possibility that anhedonia may be an important component of this possible common substrate, and it tries to identify the mechanism with which anhedonia could contribute to causing both depression and anxiety. It also proposes an explanation why an intense pleasure could improve both depression and anxiety.
在多达70%的病例中,抑郁和焦虑通常是合并症,其中一种或另一种的水平可能会波动,导致时而诊断为抑郁,时而诊断为焦虑。由于这些原因,以及许多其他共同因素的存在,有人认为两者是同一个问题连续体的一部分,它们有一个共同的基础。本文提出快感缺乏可能是这种可能的共同基质的重要组成部分的可能性,并试图确定快感缺乏可能导致抑郁和焦虑的机制。它还提出了一个解释,为什么强烈的快乐可以改善抑郁和焦虑。
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引用次数: 23
Symptom Endorsement and Sociodemographic Correlates of Postnatal Distress in Three Low Income Countries 三个低收入国家产后窘迫的症状认同和社会人口学相关性
Q1 Psychology Pub Date : 2016-02-15 DOI: 10.1155/2016/1823836
A. Nguyen, E. Haroz, T. Mendelson, J. Bass
Background. Maternal mental illness has been implicated in adverse child development outcomes. Factors such as context and culture may influence experiences of maternal distress and explain differences in outcomes across settings. Methods. We analyzed baseline data from 5,647 mothers in Ethiopia, India (Andhra Pradesh), and Vietnam participating in an ongoing cohort study (Young Lives) to compare symptom endorsement and sociodemographic correlates of distress. Maternal distress was assessed using the Self-Reporting Questionnaire-20 Items (cutoff: ≥8). Logistic regressions were stratified by sample to identify correlates of distress. Results. Symptom endorsement was similar among distressed women, particularly with regard to feeling unhappy (76%, 80%, and 79%). Notable differences were observed in three items assessing Depressive Thoughts, which were most highly endorsed in Ethiopia (49%–56%). Having a child experiencing a life-threatening event was correlated with distress in all three samples. A variety of correlates were unique to only one sample. Conclusions. There were multiple similarities but also notable differences across sites in the expression and correlates of maternal distress. Feeling unhappy appears to be a hallmark feature of distress. Correlates highlight the relationship between distress and indicators of poverty, child wellbeing, and economic shocks. Differences demonstrate the value of further exploration of cross-cultural differences.
背景。母亲的精神疾病与不良的儿童发育结果有关。环境和文化等因素可能影响产妇痛苦的经历,并解释不同环境下结果的差异。方法。我们分析了来自埃塞俄比亚、印度(安得拉邦)和越南的5647名母亲的基线数据,这些母亲参加了一项正在进行的队列研究(Young Lives),以比较症状认可和社会人口学相关的痛苦。使用自我报告问卷-20项(截止值:≥8)评估产妇痛苦。按样本进行逻辑回归分层,以确定痛苦的相关因素。结果。在痛苦的女性中,症状认同是相似的,特别是在感觉不快乐方面(76%,80%和79%)。在三个评估抑郁想法的项目中观察到显著差异,这在埃塞俄比亚得到了最高的认可(49%-56%)。在所有三个样本中,孩子经历威胁生命的事件都与痛苦有关。各种相关因素仅对一个样本是独特的。结论。在母亲痛苦的表达和相关因素方面,有许多相似之处,但也有显著的差异。感到不快乐似乎是痛苦的一个显著特征。相关性强调了痛苦与贫困、儿童福利和经济冲击等指标之间的关系。差异表明了进一步探索跨文化差异的价值。
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引用次数: 4
Efficacy of Electroconvulsive Therapy in Bipolar Disorder with Mixed Features 电惊厥治疗混合性双相情感障碍的疗效
Q1 Psychology Pub Date : 2016-01-05 DOI: 10.1155/2016/8306071
M. Palma, B. Ferreira, N. Borja-Santos, B. Trancas, Céu Monteiro, G. Cardoso
Introduction. Mixed states represent a frequent presentation of bipolar disorder, associated with higher resistance to psychopharmacology. Limited evidence supports the use of ECT in these patients. We aim to report our experience on treating bipolar mixed states with ECT. Methods. Retrospective data were collected from all bipolar patients submitted to acute ECT treatment, between June 2006 and June 2011. Three groups were created in terms of affective polarity of the episode. CGI rating was used to establish clinical remission and demographic and clinical variables were compared among groups. Long-term outcome was assessed through readmission measures, considering the use of continuation or maintenance ECT. Results. During the study time frame, a total of 50 ECT course treatments were performed on 41 bipolar patients. All affective episodes, except one mixed state, showed a positive clinical response. Patients with mixed state presentation tended to be younger and have an earlier first hospitalization than depressed patients. No differences were found in terms of ECT sessions performed, length of hospital admission, referral to continuation ECT treatment, number of readmissions, and time until next readmission. Conclusions. Our results support the effectiveness of ECT in patients experiencing a mixed affective state.
介绍。混合状态是双相情感障碍的常见表现,与精神药理学更高的耐药性有关。有限的证据支持在这些患者中使用电痉挛疗法。我们的目的是报告我们的经验,治疗双相混合状态电痉挛。方法。回顾性数据收集了2006年6月至2011年6月期间接受急性电痉挛治疗的所有双相患者。根据事件的情感极性分为三组。采用CGI评分建立临床缓解,并比较组间人口学和临床变量。通过再入院措施评估长期结果,考虑使用继续或维持ECT。结果。在研究期间,共对41名双相患者进行了50次ECT治疗。除一次混合状态外,所有情感发作均表现出积极的临床反应。混合状态表现的患者往往比抑郁症患者更年轻,首次住院时间也更早。在ECT治疗次数、住院时间、继续ECT治疗的转诊、再入院次数和下次再入院时间方面没有发现差异。结论。我们的研究结果支持电痉挛疗法在经历混合情感状态的患者中的有效性。
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引用次数: 15
Invisible Victims: Delayed Onset Depression among Adults with Same-Sex Parents. 看不见的受害者:同性父母的成人迟发性抑郁症。
Q1 Psychology Pub Date : 2016-01-01 Epub Date: 2016-05-29 DOI: 10.1155/2016/2410392
D Paul Sullins

The relationship of elevated depression risk recently discovered among adult persons raised by same-sex parents with possible precipitating conditions in childhood has not previously been acknowledged. This study tests whether such inattention is supportable. Logistic regression based risk ratios were estimated from longitudinal measures of mental health outcomes observed in three waves (at ages 15, 22, and 28) of the US National Survey of Adolescent to Adult Health (n = 15,701). At age 28, the adults raised by same-sex parents were at over twice the risk of depression (CES-D: risk ratio 2.6, 95% CI 1.4-4.6) as persons raised by man-woman parents. These findings should be interpreted with caution. Elevated risk was associated with imbalanced parental closeness and parental child abuse in family of origin; depression, suicidality, and anxiety at age 15; and stigma and obesity. More research and policy attention to potentially problematic conditions for children with same-sex parents appears warranted.

最近在同性父母抚养的成年人中发现的抑郁症风险升高与儿童期可能出现的突发疾病之间的关系此前并未得到承认。本研究检验这种注意力不集中是否合理。根据美国全国青少年至成人健康调查(n = 15,701)的三波(15岁、22岁和28岁)观察到的心理健康结果的纵向测量,估计基于Logistic回归的风险比。在28岁时,同性父母抚养的成年人患抑郁症的风险是男女父母抚养的成年人的两倍多(风险比为2.6,95% CI为1.4-4.6)。这些发现应该谨慎解读。风险升高与原生家庭中父母亲密关系不平衡和父母虐待儿童有关;15岁时抑郁、自杀和焦虑;还有耻辱和肥胖。有必要对同性父母的孩子的潜在问题进行更多的研究和政策关注。
{"title":"Invisible Victims: Delayed Onset Depression among Adults with Same-Sex Parents.","authors":"D Paul Sullins","doi":"10.1155/2016/2410392","DOIUrl":"https://doi.org/10.1155/2016/2410392","url":null,"abstract":"<p><p>The relationship of elevated depression risk recently discovered among adult persons raised by same-sex parents with possible precipitating conditions in childhood has not previously been acknowledged. This study tests whether such inattention is supportable. Logistic regression based risk ratios were estimated from longitudinal measures of mental health outcomes observed in three waves (at ages 15, 22, and 28) of the US National Survey of Adolescent to Adult Health (n = 15,701). At age 28, the adults raised by same-sex parents were at over twice the risk of depression (CES-D: risk ratio 2.6, 95% CI 1.4-4.6) as persons raised by man-woman parents. These findings should be interpreted with caution. Elevated risk was associated with imbalanced parental closeness and parental child abuse in family of origin; depression, suicidality, and anxiety at age 15; and stigma and obesity. More research and policy attention to potentially problematic conditions for children with same-sex parents appears warranted. </p>","PeriodicalId":38441,"journal":{"name":"Depression Research and Treatment","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/2410392","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34650256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Prevalence and Severity of Depression and Its Association with Substance Use in Jimma Town, Southwest Ethiopia. 埃塞俄比亚西南部吉马镇的抑郁症患病率和严重程度及其与药物使用的关系。
Q1 Psychology Pub Date : 2016-01-01 Epub Date: 2016-03-16 DOI: 10.1155/2016/3460462
Andualem Mossie, Dagmawi Kindu, Alemayehu Negash

Background. Depression is a significant contributor to the global burden of disease and affects 350 million people worldwide. Substance use could be the risk factor for depression. Objective. We aim to determine the prevalence and severity of depression and its association with substance use. Methods. A cross-sectional study was conducted on a sample of 650 respondents in Jimma town in March 2014. A multistage stratified sampling method was conducted. Structured questionnaire and Beck's Depression Inventory (BDI-II) scale were used for data collection. Data analysis was done using the SPSS Version 20.0 for Windows. Results. The participation rate of respondents was 590/650 (90.77%). The proportion of females was 300 (50.9%). The current prevalence of depression was 171 (29.0%). Based on the BDI-II grading of the severity of depression, 102 (59.6%) had mild, 56 (32.7%) had moderate, 13 (7.6%) had severe depression. In the present study, age of 55 years and above [OR = 5.94, CI: 2.26-15.58], being widowed [OR = 5.18, CI: 1.18-22.76], illiterates [OR = 9.06, CI: 2.96-27.75], khat chewing [OR = 10.07, CI: 5.57-18.25], cigarette smoking [OR = 3.15, CI: 1.51-6.58], and shisha usage [OR = 3.04, CI: 1.01-9.19] were significantly and independently associated with depression. Conclusion. The finding depicted that depression was a moderate public health problem. Advanced age, being widowed, illiterate, khat chewing, and cigarette and shisha smocking could be the potential risk factors for depression. Risk reduction is recommended.

背景。抑郁症是造成全球疾病负担的一个重要因素,影响着全球 3.5 亿人。使用药物可能是抑郁症的风险因素。目的我们旨在确定抑郁症的患病率和严重程度及其与药物使用的关系。方法。2014 年 3 月,我们在吉马镇对 650 名受访者进行了横断面研究。采用多阶段分层抽样法。数据收集采用结构化问卷和贝克抑郁量表(BDI-II)。数据分析使用 SPSS 20.0 Windows 版本进行。结果受访者参与率为 590/650(90.77%)。女性比例为 300(50.9%)。当前抑郁症患病率为 171(29.0%)。根据 BDI-II 对抑郁症严重程度的分级,102 人(59.6%)患有轻度抑郁症,56 人(32.7%)患有中度抑郁症,13 人(7.6%)患有重度抑郁症。在本研究中,55 岁及以上[OR = 5.94,CI:2.26-15.58]、丧偶[OR = 5.18,CI:1.18-22.76]、文盲[OR = 9.06,CI:2.96-27.75]、咀嚼阿拉伯茶[OR = 10.07,CI:5.57-18.25]、吸烟[OR = 3.15,CI:1.51-6.58]和使用水烟[OR = 3.04,CI:1.01-9.19]与抑郁显著且独立相关。结论研究结果表明,抑郁症是一个中度公共健康问题。高龄、丧偶、文盲、咀嚼阿拉伯茶、吸烟和吸食水烟可能是抑郁症的潜在风险因素。建议降低风险。
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引用次数: 0
Breastfeeding and Postpartum Depression: An Overview and Methodological Recommendations for Future Research. 母乳喂养和产后抑郁:综述和未来研究的方法学建议。
Q1 Psychology Pub Date : 2016-01-01 Epub Date: 2016-04-11 DOI: 10.1155/2016/4765310
Carley J Pope, Dwight Mazmanian

Emerging research suggests that a relationship exists between breastfeeding and postpartum depression; however, the direction and precise nature of this relationship are not yet clear. The purpose of this paper is to provide an overview of the relationship between breastfeeding and postpartum depression as it has been examined in the empirical literature. Also, the potential mechanisms of action that have been implicated in this relationship are also explored. PubMed and PsycINFO were searched using the keywords: breastfeeding with postpartum depression, perinatal depression, postnatal depression. Results of this search showed that researchers have examined this relationship in diverse ways using diverse methodology. In particular, researchers have examined the relationships between postpartum depression and breastfeeding intention, initiation, duration, and dose. Due to a number of methodological differences among past studies we make some recommendations for future research that will better facilitate an integration of findings. Future research should (1) use standardized assessment protocols; (2) confirm diagnosis through established clinical interview when possible; (3) provide a clear operationalized definition for breastfeeding variables; (4) clearly define the postpartum period interval assessed and time frame for onset of symptoms; (5) be prospective or longitudinal in nature; and (6) take into consideration other potential risk factors identified in the empirical literature.

最新研究表明,母乳喂养与产后抑郁之间存在关系;然而,这种关系的方向和确切性质尚不清楚。本文的目的是提供母乳喂养和产后抑郁之间的关系的概述,因为它已经在实证文献中进行了检查。此外,还探讨了在这种关系中涉及的潜在作用机制。检索关键词:母乳喂养合并产后抑郁、围产期抑郁、产后抑郁。这项研究的结果表明,研究人员使用不同的方法以不同的方式研究了这种关系。特别是,研究人员已经研究了产后抑郁与母乳喂养意图、开始、持续时间和剂量之间的关系。由于过去的研究中存在一些方法上的差异,我们为未来的研究提出了一些建议,以更好地促进研究结果的整合。未来的研究应:(1)采用标准化的评估方案;(2)尽可能通过既定的临床访谈确认诊断;(3)为母乳喂养变量提供明确的可操作定义;(4)明确规定评估的产后时间间隔和症状发作的时间框架;(五)具有前瞻性或者纵向性;(6)考虑经验文献中确定的其他潜在风险因素。
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引用次数: 127
Illness Attitudes Associated with Seasonal Depressive Symptoms: An Examination Using a Newly Developed Implicit Measure 疾病态度与季节性抑郁症状相关:使用新开发的内隐测量的检验
Q1 Psychology Pub Date : 2015-12-10 DOI: 10.1155/2015/397076
Katherine Meyers, M. Young
The Dual Vulnerability Model of seasonal depression posits that seasonal vegetative symptoms are due to a physiological vulnerability, but cognitive and mood symptoms are the result of negative appraisal of vegetative changes. In addition, rumination may be associated with stronger negative attitudes toward vegetative symptoms. This is the first study to examine implicit attitudes toward vegetative symptoms. We hypothesized that illness attitudes about fatigue moderate the relationship between the severity of vegetative symptoms and the severity of cognitive symptoms and that the illness attitudes are associated with rumination. This study also developed an implicit method to assess the appraisal of fatigue as indicating illness. Results supported both hypotheses. Illness attitudes toward fatigue moderated the relationship between vegetative symptoms and cognitive symptoms. Ruminative response style was positively associated with implicit illness attitudes towards fatigue. The study provides support for the role of negative appraisals of vegetative symptoms in the development of cognitive and mood seasonal depressive symptoms.
季节性抑郁症的双重脆弱性模型认为季节性植物性症状是由于生理上的脆弱性,而认知和情绪症状是对植物性变化的负面评价的结果。此外,反刍可能与对植物症状更强烈的消极态度有关。这是第一次研究对植物症状的隐性态度。我们假设关于疲劳的疾病态度缓和了植物性症状和认知症状严重程度之间的关系,并且疾病态度与反刍有关。本研究也发展了一种隐式方法来评估疲劳作为指示疾病的评价。结果支持这两种假设。疾病对疲劳的态度调节了营养症状和认知症状之间的关系。反刍反应方式与内隐疾病对疲劳的态度正相关。本研究为植物性症状负面评价在认知和情绪季节性抑郁症状发展中的作用提供了支持。
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引用次数: 1
Cognitive Mechanisms Reciprocally Transmit Vulnerability between Depressive and Somatic Symptoms 认知机制在抑郁和躯体症状之间相互传递脆弱性
Q1 Psychology Pub Date : 2015-12-09 DOI: 10.1155/2015/250594
K. Harding, Karly M. Murphy, A. Mezulis
Despite high comorbidity between depressive and somatic symptoms, cognitive mechanisms that transmit vulnerability between symptom clusters are largely unknown. Dampening, positive rumination, and brooding are three cognitive predictors of depression, with rumination theoretically indicated as a transdiagnostic vulnerability through amplifying and diminishing affect in response to events. Specifically, the excess negative affect and lack of positive affect characteristic of depressive symptoms and underlying somatic symptoms may cause and be caused by cognitive responses to events. Therefore, the current study examined whether comorbidity between depressive and somatic symptoms may be explained by the cognitive mechanisms of dampening and positive rumination in response to positive events and brooding in response to negative events among adults (N = 321) across eight weeks of assessment. We hypothesized that greater dampening and brooding would reciprocally predict greater depressive and somatic symptoms, while greater positive rumination would reciprocally predict fewer depressive and somatic symptoms. Mediation analyses in AMOS 22 indicated that dampening and brooding mediated reciprocal pathways between depressive and somatic symptoms, but positive rumination did not. Findings propose dampening and brooding as mechanisms of the reciprocal relationship between depressive and somatic symptoms through diminishing positive affect and amplifying negative affect in response to positive and negative events.
尽管抑郁和躯体症状之间有很高的共病性,但在症状群之间传递易感性的认知机制在很大程度上是未知的。消沉、积极反刍和沉思是抑郁症的三个认知预测因素,反刍在理论上被认为是一种跨诊断的脆弱性,通过放大和减少对事件的反应。具体来说,抑郁症状和潜在躯体症状所特有的过度消极影响和缺乏积极影响,可能引起对事件的认知反应,也可能由认知反应引起。因此,目前的研究考察了抑郁和躯体症状之间的共病是否可以通过认知机制来解释,即对积极事件做出反应时的抑制和积极反刍,以及对消极事件做出反应时的沉思(N = 321)。我们假设,更大的压抑和沉思会相互预测更大的抑郁和躯体症状,而更大的积极反刍会相互预测更少的抑郁和躯体症状。AMOS 22的中介分析表明,压抑和沉思介导抑郁和躯体症状之间的相互通路,而积极反刍则没有。研究结果表明,抑制和沉思是抑郁和躯体症状之间相互关系的机制,通过减少积极影响和放大消极影响来应对积极和消极事件。
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引用次数: 6
期刊
Depression Research and Treatment
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