Social Interactions/Depression-Intellectual Disabilities

社交互动/抑郁-智力障碍

• 批准号: 7148483
• 负责人: William E. MacLean
• 金额: $ 7.03万
• 依托单位: UNIVERSITY OF WYOMING
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-01 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7148483
• 关键词: Downs syndrome; aggression; angers; behavioral /social science research tag; clinical research; conflict; coping; depression; human subject; interpersonal relations; interview; mental retardation; psychological stressor; psychological tests; psychometrics; questionnaires; social adjustment; social behavior

DESCRIPTION (provided by applicant): Perception of stress has recently been shown to have a detrimental impact on the psychological health of adults with mild intellectual disabilities (ID)(15, 18,19, 24). Adults with mild ID perceive stressful social interactions as occurring more frequently and as having a greater stress impact than other types of negative events (6,18). Insight into the category of others involved in stressful social interactions has implications for understanding situations in which adults with mild ID are vulnerable to perceptions of stress (e.g., family visits). Little is known about the interpersonal skills that adults with mild ID perceive as difficult (e.g. difficulty asserting opinions), or the actual interpersonal skill deficits of adults with mild ID, and how these interpersonal difficulties contribute to stressful social interactions. It is impossible to eliminate all stressful social interactions and thus an investigation of the coping strategies used to deal with stressful social interactions and the emotions surrounding these interactions is also warranted. Stressful events and negative social interactions play a key role in understanding and treating depression among the general population. Stressful social interactions, the causal attributions for these events, and the coping strategies used to deal with these events may also be a salient feature of depression in adults with mild ID. In Aim 1, the frequency and stress impact of stressful social interactions of 100 adults with mild ID will be assessed through interviews and standardized questionnaires. The category of others with whom these interactions occur and the interpersonal skill difficulties of adults with mild ID related to these interactions will be identified. The coping strategies utilized for dealing with stressful negative social interactions will also be determined. In Aim 2, stressful social interactions, causal attributions, and coping strategies of 50 adults with mild ID who have a depressive diagnosis and a matched control group of 50 adults with mild ID without a depressive diagnosis will be evaluated. The relevance of this research to public health is: 1) to increase understanding of stressful social interactions among adults with mild ID; 2) to develop coping training programs to increase the use of adaptive coping to deal with stressful social interactions and the emotions surrounding these interactions when they do occur; 3) to identify interpersonal and cognitive aspects of depression among adults with mild ID that could inform the development of appropriate interventions.

描述（由申请人提供）：最近研究表明，压力感知对患有轻度智力障碍 (ID) 的成年人的心理健康具有不利影响(15, 18,19, 24)。患有轻度智力障碍的成年人认为，与其他类型的负面事件相比，压力性社交互动发生得更频繁，压力影响也更大 (6,18)。深入了解参与压力性社交互动的其他人的类别，对于理解轻度智障成年人容易感受到压力的情况（例如家人探访）具有重要意义。人们对轻度智障成年人认为困难的人际交往能力（例如难以发表意见）、轻度智障成年人实际的人际技能缺陷以及这些人际交往困难如何导致社交互动压力知之甚少。消除所有压力性社交互动是不可能的，因此也有必要研究用于处理压力性社交互动的应对策略以及围绕这些互动的情绪。压力事件和消极的社会互动在理解和治疗普通人群的抑郁症方面发挥着关键作用。压力大的社交互动、这些事件的因果归因以及用于处理这些事件的应对策略也可能是轻度智障成年人抑郁症的一个显着特征。在目标 1 中，将通过访谈和标准化问卷来评估 100 名患有轻度智力障碍的成年人的压力社交互动的频率和压力影响。将确定发生这些互动的其他人的类别以及与这些互动相关的轻度智力障碍成年人的人际交往技巧困难。还将确定用于处理压力负面社交互动的应对策略。在目标 2 中，将评估 50 名患有抑郁症的轻度智力障碍成年人和由 50 名没有抑郁诊断的轻度智力障碍成年人组成的匹配对照组的压力社交互动、因果归因和应对策略。这项研究与公共卫生的相关性是：1）增加对轻度智力障碍成年人的压力社交互动的了解； 2) 制定应对培训计划，以增加适应性应对的使用，以应对有压力的社交互动以及这些互动发生时围绕这些互动的情绪； 3) 确定患有轻度智力障碍的成年人抑郁症的人际关系和认知方面，这可以为制定适当的干预措施提供信息。