被诊断为重度抑郁障碍的青少年情绪调节障碍与冲动和认知/元认知能力之间的关系分析。

IF 0.5 4区 医学 Q4 PHARMACOLOGY & PHARMACY Psychiatry and Clinical Psychopharmacology Pub Date : 2024-06-01 DOI:10.5152/pcp.2024.23762
Mutlu Muhammed Özbek, Remzi Oğulcan Çıray
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引用次数: 0

摘要

背景:重度抑郁障碍(MDD)是儿童和青少年中的一种重要精神疾病。青少年的认知和元认知过程不同于成年人,因此分析青少年与抑郁症的关系非常重要:我们的研究包括 45 名患者和 44 名健康对照者。对参与者进行了情绪调节困难量表(DERS)、巴拉特冲动量表(Barratt Impulsivity Scale)、执行功能行为评定量表(BRIEF)和 Stroop 测试:对 DERS 总分进行评估后发现,两组之间的 DERS 分数差异有统计学意义。与 MDD 组相比,健康对照组的情绪调节能力明显高于 MDD 组。在 Stroop 测试中,尤其是在第五部分,对照组在总持续时间和犯错次数方面的表现均明显优于研究组。在 BRIEF 测试中,对照组和研究组在所有三个方面都存在显著的统计学差异。为了确定与 BRIEF 分数统计差异有关的有效因素,我们使用了多元线性回归分析:结论:研究发现,抑郁评分和 Stroop 表现会影响执行功能。鉴于 Stoop 表现可能与执行功能重叠,这一结果在意料之中。然而,考虑到抑郁评分尤其会影响认知过程和不良认知过程(如反刍)中的注意力,抑郁评分对执行功能的影响也在意料之中。
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Analysis of the Relationship Between Emotion Regulation Difficulties and Impulsivity and Cognitive/Metacognitive Skills in Adolescents Diagnosed with Major Depressive Disorder.

Background: Major depressive disorder (MDD) is a significant psychiatric disorder among children and adolescents. It is important that the relationship with depression is analyzed in adolescents in which cognitive and metacognitive processes are different from adult individuals.

Methods: Forty-five patients and 44 healthy controls were included in our study. Participants were administered Difficulties in Emotion Regulation Scale (DERS), Barratt Impulsivity Scale, Behavior Rating Inventory of Executive Function (BRIEF), and Stroop test.

Results: When the DERS total scores were evaluated, a statistically significant difference was found between the 2 groups in terms of DERS scores. In the healthy controls, the emotion regulation skills were significantly higher compared with the MDD group. In the Stroop test, particularly in the fifth section, the control group displayed a statistically significant better performance in both total duration and the number of mistakes made compared with the study group. In the BRIEF test a statistically significant difference was found between the control group and the study group in all 3 areas. In order to determine the efficient factors related to the statistical difference between the BRIEF scores, the multiple linear regression analysis was used.

Conclusion: It was found that depression scores and Stroop performance influence executive functions. Given that Stoop performance can overlap with executive functions, this outcome was expected. However, the impact of depression scores affecting executive functions is also anticipated, considering that these scores particularly affect attention among the cognitive and maladaptive cognitive processes, such as rumination.

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来源期刊
Psychiatry and Clinical Psychopharmacology
Psychiatry and Clinical Psychopharmacology Medicine-Psychiatry and Mental Health
CiteScore
1.00
自引率
14.30%
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0
期刊介绍: Psychiatry and Clinical Psychopharmacology aims to reach a national and international audience and will accept submissions from authors worldwide. It gives high priority to original studies of interest to clinicians and scientists in applied and basic neurosciences and related disciplines. Psychiatry and Clinical Psychopharmacology publishes high quality research targeted to specialists, residents and scientists in psychiatry, psychology, neurology, pharmacology, molecular biology, genetics, physiology, neurochemistry, and related sciences.
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