青少年生活事件、人格风格与抑郁、焦虑障碍发展的关系

IF 0.4 Q4 PEDIATRICS Adolescent Psychiatry Pub Date : 2020-12-08 DOI:10.2174/2210676610999201208214837
Noga Oschry-Bernstein, N. Horesh-Reinman, Adar Avnon, Tomer Mevorach, A. Apter, S. Fennig
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引用次数: 0

摘要

焦虑障碍和抑郁障碍作为两种不同的障碍的分离性经常受到质疑。本研究的目的是检验青少年焦虑和抑郁障碍的生活事件和性格特征是否不同。146名青少年参与了这项研究,其中57名男孩和89名女孩,年龄在11-18岁之间(平均值=15.08+1.97)。研究组包括92名临床诊断为抑郁症或焦虑症的青少年,对照组包括54名没有已知精神病理学的青少年。多项逻辑回归对焦虑症和抑郁症产生了不同的预测特征。生活事件变量,尤其是轻微的生活事件和早期创伤,被发现是抑郁症的预测因素。此外,在抑郁症的预测中,早期创伤和轻微生活事件之间存在相互作用,因此创伤的存在削弱了轻微生活事件与抑郁症发作之间的统计相关性。此外,与关于成年人的文献相反,研究发现,在青春期,人格变量作为易患焦虑和抑郁的预测因素有着独特的作用,从而降低了生活事件的重要性。我们的研究结果表明,这两种疾病可以识别出不同的生活事件和性格特征。此外,在青少年抑郁症发作时,早期创伤似乎是掩盖近期生活事件的主要因素。
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The Relationship between Life Events and Personality Style to the Development of Depressive and Anxiety Disorders Among Adolescents
The separateness of anxiety disorder and depressive disorder as two distinct disorders is often questioned. The aim of the current study is to examine whether there is a different profile of life events and personality characteristics for anxiety and depression disorders in adolescents. One hundred forty-six adolescents participated in the study, 57 boys and 89 girls, ranging in age from 11-18 years (mean=15.08+1.97). The study group included 92 adolescents with a clinical diagnosis of depression or anxiety, and the comparison group included 54 teenagers with no known psychopathology. Multinomial logistic regression produced different predictive profiles for anxiety disorder and for depressive disorders. Life event variables, especially minor life events and early traumas, were found to be predictors for depression. Furthermore, interaction was found between early trauma and minor life events in the prediction of depression, such that the existence of trauma weakened the statistical correlation between minor life events and the onset of depression. In addition, contrary to the literature regarding adults, it was found that during adolescence personality variables have a unique contribution as predictive factors for vulnerability to the onset of anxiety and depression, thus reducing the significance of life events. Our findings suggest that different profile of life events and personality characteristics can be identified for the two disorders. In addition, it appears that early traumas are a dominant factor that overshadows more recent life events at the onset of depression among adolescents.
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来源期刊
Adolescent Psychiatry
Adolescent Psychiatry PEDIATRICS-
CiteScore
0.80
自引率
0.00%
发文量
20
期刊介绍: Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.
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