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Rumination, anxiety, depressive symptoms and subsequent depression in adolescents at risk for psychopathology: a longitudinal cohort study

机译:乐曲,焦虑,抑郁症状和随后的青少年心理病理学风险的抑郁症:纵向队列研究

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Background A ruminative style of responding to low mood is associated with subsequent high depressive symptoms and depressive disorder in children, adolescents and adults. Scores on self-report rumination scales correlate strongly with scores on anxiety and depression symptom scales. This may confound any associations between rumination and subsequent depression. Methods Our sample comprised 658 healthy adolescents at elevated risk for psychopathology. This study applied ordinal item (non-linear) factor analysis to pooled items from three self-report questionnaires to explore whether there were separate, but correlated, constructs of rumination, depression and anxiety. It then tested whether rumination independently predicted depressive disorder and depressive symptoms over the subsequent 12?months, after adjusting for confounding variables. Results We identified a single rumination factor, which was correlated with factors representing cognitive symptoms of depression, somatic symptoms of depression and anxiety symptoms; and one factor representing adaptive responses to low mood. Elevated rumination scores predicted onset of depressive disorders over the subsequent year (p?=?0.035), and levels of depressive symptoms 12?months later (p? Conclusion High rumination predicts onset of depressive disorder in healthy adolescents. Therapy that reduces rumination and increases distraction/problem-solving may reduce onset and relapse rates of depression.
机译:背景技术响应低情绪的反应性风格与儿童,青少年和成年人的后续高抑郁症状和抑郁症有关。自我报告谣言尺度上的分数强烈地关联,焦虑和抑郁症症状尺度的分数强烈相关。这可能会混淆谣言和随后的抑郁症之间的任何关联。方法在精神病理学的升高风险下,我们的样本包括658名健康青少年。本研究应用序数(非线性)因子分析,从三个自我报告问卷中汇集项目,以探索是否有分开但相关,谣言构建,抑郁和焦虑。然后,在调整混淆变量之后,测试是否在随后的12月12月中进行了独立预测抑郁症和抑郁症状。结果我们鉴定了单一的响应因子,与代表抑郁症的认知症状,抑郁症症状和焦虑症状的症状的因素相关。以及代表对低情的适应性反应的一个因素。在随后的一年(P?= 0.035)和抑郁症状的水平预测抑郁症的升高评分(p?= 0.035),12月后的抑郁症状(P?结论高探测器预测健康青少年的抑郁症发作。减少谣言的治疗和增加分散化/问题解决可能会降低抑郁症的发作和复发率。

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