在有风险,抑郁和自杀倾向的青少年中,应对压力
Jeremy G Stewart1, Diego A Pizzagalli2,3, Randy P Auerbach4,5
1Department of Psychology, Queen's University, Kingston, ON, Canada.
Journal of child psychology and psychiatry, and allied disciplines
|December 15, 2023
概括
慢性和人际关系压力与青少年的大型抑郁症 (MDD) 有关. 特定的压力类型,如有针对性的拒绝,也可能增加患有抑郁症的年轻人的自杀风险.
科学领域:
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 暴露于压力是青少年中重大抑郁障碍 (MDD) 的发展,持续和复发的重要因素.
- 了解与青少年抑郁症不同阶段相关的特定类型的压力因素 (例如,慢性,偶发性,人际关系) 是至关重要的,但仍然不清楚.
研究的目的:
- 调查各种压力因素和青少年抑郁症严重程度之间的关系.
- 与健康对照人群相比,检查健康的年轻人与MDD风险水平不同以及目前MDD和自杀念头的青少年之间的压力因子差异.
主要方法:
- 进行了两项涉及12-17岁青少年的研究.
- 研究1包括低风险 (LR) 和高风险 (HR) 的年轻人,基于母亲MDD病史.
- 第二项研究将患有当前MDD和自杀念头的青少年 (包括过去一年的自杀企图[SA]和仅有自杀念头[SI]) 与健康的对照者 (HC) 相比较,使用生活事件和困难表来评估压力因素的严重程度.
主要成果:
- 与低风险青年相比,高风险青年报告了更严重的慢性,独立和人际关系压力.
- 患有MDD的青少年的慢性和依赖性压力严重程度明显高于健康对照组,独立压力没有显著差异.
- 虽然自杀企图者和那些仅有想法的人之间压力严重程度没有差异,但试图者报告了更有针对性的拒绝事件.
结论:
- 研究结果阐明了导致青少年抑郁症的特定压力特征.
- 这项研究阐明了在青少年抑郁症及其临床表现过程中的关键时刻不同压力因素的作用,包括自杀行为.
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