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童年忽视和抑郁症状之间的关联:回避性应对的调解效应
Laura Eggert1, Laura Kenntemich1,2, Leonie von Hülsen1
1Department of Psychiatry and Psychotherapy, University Medical Center Hamburg Eppendorf, Hamburg, Germany.
童年被忽视与成年人抑郁症有关,通过避免自我责备等应对策略. 针对这些应对机制的干预措施可能有助于减少脆弱个体的抑郁症状.
科学领域:
- 心理学 心理学 心理学
- 心理健康 心理健康
- 公共卫生 公共卫生
背景情况:
- 童年被忽视是成年人抑郁症的危险因素.
- 曾经被忽视过的人可能会使用回避性应对策略.
- 避免应对可能会调解忽视和抑郁之间的联系.
研究的目的:
- 检查童年忽视和抑郁症状之间的关联.
- 为了调查回避性应对行为是否调解了这种关系.
- 为了确定涉及的特定回避应对策略.
主要方法:
- 在COVID-19大流行期间对2245名德国成年人进行调查.
- 评估了童年忽视 (ACE),抑郁症状 (PHQ-9) 和避免应对 (COPE).
- 使用结构方程建模 (SEM) 进行调解分析.
主要成果:
- 童年忽视显著预测了更高的抑郁症状.
- 药物使用,行为脱节和自责调解了这种关联.
- 自责的间接影响比吸毒更强烈.
结论:
- 避免性应对行为调解了童年忽视和成人抑郁之间的联系.
- 针对避免应对的干预措施可以减少抑郁症状.
- 自责是一个特别强大的调解者.
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