INTERPERSONAL CONTEXT OF ADOLESCENT DEPRESSION

青少年抑郁症的人际关系背景

• 批准号: 2829218
• 负责人: KAREN D RUDOLPH
• 金额: $ 17.97万
• 依托单位: UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-06-01 至 2003-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2829218
• 关键词: adolescence (12-20); behavioral /social science research tag; child psychology; clinical depression; clinical research; coping; disease /disorder onset; disease /disorder proneness /risk; emotional adjustment; family structure /dynamics; gender difference; human puberty; human subject; interpersonal relations; interview; longitudinal human study; psychological models; questionnaires; relapse /recurrence

Despite recent widespread recognition of child depression as a valid and potentially debilitating clinical phenomenon, controversy remains as to the etiology, significance, and prognostic power of depression in childhood. The primary goal of the proposed research is to identify the antecedents and sequelae of depression during the early course of disorder. A particular focus is placed on understanding the rise in depression during adolescence, especially in girls. The model guiding the research posits that family dysfunction in the form of parental depression and lifetime family disruptions fosters the development of maladaptive conceptions of interpersonal relationships and ineffective coping, which create a vulnerability to depression. Stressful circumstances, including the negotiation of normative developmental transitions, are hypothesized to activate this vulnerability, leading to depression during transition periods. Girls are expected to be most sensitive to these processes due to personal characteristics as well as the experience of unique challenges during adolescence. Finally, depression is expected to induce further psychosocial disruption, which increases the likelihood of persistence or recurrence of disorder across adolescence. This proposed multivariate model will be examined using a prospective, multi-informant, multi-method design. Subgroups of depressed, externalizing, and comparison children selected from a community sample will be followed over a period of 2 1/2 years to explore the social-cognitive, affective, interpersonal, and contextual processes underlying onset and recurrence of depression during the early course of disorder. Ultimately, it is anticipated that knowledge from such research can inform the creation of empirically based intervention programs designed to treat childhood-onset depression.

尽管最近广泛地认识到儿童抑郁症是一种有效且可能使人衰弱的临床现象，但关于儿童抑郁症的病因，意义和预后能力仍然存在争议。 拟议的研究的主要目标是确定疾病早期过程中抑郁症的先例和后遗症。 特别是理解青春期抑郁症的上升，尤其是在女孩中。 指导研究的模型表明，家庭功能障碍以父母抑郁和终生的家庭破坏形式的形式促进了人际关系际关系和无效应对的不良适应性概念的发展，从而造成了抑郁症的脆弱性。假设压力很大的环境，包括规范发展过渡的谈判，以激活这种脆弱性，导致过渡期间的抑郁症。由于个人特征以及青春期独特的挑战经验，预计女孩对这些过程最敏感。 最后，预计抑郁症会诱发进一步的社会心理破坏，这增加了整个青春期疾病的持久性或复发的可能性。 该提出的多元模型将使用前瞻性，多信息，多方法设计进行检查。从社区样本中选出的沮丧，外在化和比较子的子组将在2 1/2年的时间内探讨社会认知，情感，人际关系，人际关系和上下文过程，并在早期过程中抑郁症的复发和抑郁症的复发。混乱。最终，可以预料，此类研究的知识可以告知基于经验的干预计划的创建，旨在治疗儿童期抑郁症。