青少年抑郁综合认知模型及其性别差异

Beck抑郁认知理论认为功能失调性态度和自动思维对抑郁的形成和发展有着重要的影响, 但是不同水平的认知因素在青少年抑郁中起什么样的作用还有待于进一步的研究。根据Oei和Kwon (2007)综合认知模型(ICM), 我们假设在青少年负性生活事件和抑郁症状间功能失调性态度是调节变量, 而自动思维是中介变量。研究采用开学初和临近期末间隔近四个月两个时间点的纵向数据搜集方式, 对613名初中生施以青少年生活事件量表(ASLEC)、功能失调性态度问卷(DAS)、自动思维问卷(ATQ)以及流调中心用抑郁量表(CES-D), 然后通过路径分析对模型进行了拟合度和性别差异检验, 结果表明：(1)各变量显著相关(p<0.01), 且各变量间隔四个月两个时间点的分数差异显著(p<0.01); (2)修正后的青少年抑郁综合认知模型较好地拟了数据, 且功能失调性态度与负性生活事件的交互作用对自动思维的影响上女生的路径系数显著大于男生。结论：功能失调性态度在负性生活事件和青少年抑郁症状间起调节作用, 而自动思维从中起到了认知中介的作用, 且该模型性别差异显著。     

The Effects of Dysphoria and Personality on Negative Self-Referent Attitudes and Perceptions of the Attitudes of Others

The cognitive model of depression posits that depressed individuals harbor more dysfunctional self-referent attitudes, but little is known about how depressed individuals perceive the attitudes and perceptions of others in their social arena. This study examined whether dysphoric individuals perceive others to hold equally negative attitudes about themselves, and whether such perceptions depend on sociotropic (i.e., highly invested in social approval and relationship success) and autonomous (i.e., highly invested in vocational or academic achievement and goal attainment) personality styles. A sample of undergraduate students (N = 197) was recruited, and after the assessment of their depression symptoms and personality style, participants read vignettes that described negative scenarios, and imagined that these scenarios occurred to themselves or the general university student. After reading each vignette, participants also rated their agreement with a number of statements that assessed dysfunctional attitudes. Results indicated that elevated dysphoria (i.e., showing signs of depression) scores were positively associated with dysfunctional self-referent attitudes. Further, moderational analyses examining the interaction of sociotropy and dysphoria did not support the hypothesis that individuals higher on dysphoria and sociotropy were less likely to perceive others as harboring negative attitudes about themselves in comparison to those with elevated dysphoria and lower levels of sociotropy. Last, individuals showing elevated dysphoria and higher scores on subdomains of autonomy were more likely to perceive others as exhibiting negative attitudes about themselves than those with low levels of the trait. These findings, their implications, and strengths and limitations of the current investigation are further discussed.     

Fear of Success Imagery in the Print Media

The study aimed to assess levels of depressive symptoms and associated risk factors in a sample of students in Bogotá, Colombia. A convenient sample (N = 254) of students at the University Antonio Nariño, Bogotá was invited to complete an online survey that contained questions associated with common risk factors for depression and the Beck Depression Inventory (BDI-II). Chi-square was used to analyze comparisons between demographic and risk factors and severity of depression, and comparisons between those depressed and not depressed. Odds Ratios and their 95% confidence interval (95% CI) were computed through logistic regression model developed for each independent variable. The point-prevalence of current depressive symptoms was 36.2%; women 47.3% and men 21.3%. Risk factors associated with depression included being a woman, having a previous diagnosis, suicidal ideation and (or) intent, sleep problems, a recent loss, and a history of family depression and alcoholism. The study confirms the high incidence of depression and associated risk factors in students. The results demonstrate a need for prevention measures, early detection and early intervention.     

I am happy in my faith: the influence of religious affiliation,saliency, and practice on depressive symptoms and treatment preference

Religion is thought to significantly impact numerous areas of mental health, including depression. Using a 63-item questionnaire, the influence of religious affiliation, saliency, and practice on levels of depressive symptoms and treatment preference in a non-clinical sample of Christians, Muslims, Atheists, and Agnostics (N = 471) was investigated. No significant differences in depressive symptoms were found between affiliations. Saliency and frequency of practice had a weak negative correlation with depressive symptoms for Christians, but were not significant for Muslim participants. No significant differences of preference were found between affiliations for social, cognitive, and medical treatments. Treatment preference of religious-based treatments differed significantly between affiliations. Findings suggest that affiliation is not significantly related to depressive symptoms or treatment preference, and the influence of saliency and practice differs between religions. Limitations and implications of the current study are discussed, and directions for further research are identified.     

Linguistic Analysis of Communication in Therapist-Assisted Internet-Delivered Cognitive Behavior Therapy for Generalized Anxiety Disorder

In spite of a growth in cognitive conceptualizations of obsessive‐compulsive symptoms, relatively little has been done to extend such concepts to childhood. This study investigated the relationship between responsibility attitudes and obsessive‐compulsive symptoms in normal children. A measure of responsibility attitudes in children was constructed on the basis of Salkovskis' Responsibility Attitudes Scale. This measure (Responsibility Attitudes Scale for Children) was administered together with the Leyton Obsessive Inventory Child Version and the Children's Depression Inventory to a sample of two hundred and two 10–14‐year‐old schoolchildren in Iceland. The responsibility measure correlated moderately and similarly with the Leyton Obsessive Inventory Child Version and the Children's Depression Inventory. In a hierarchical regression analysis predicting Leyton Obsessive Inventory Child Version scores, age and gender were entered in the equation first, followed by Children's Depression Inventory scores and, finally, Responsibility Attitudes Scale for Children scores. It was shown that Responsibility Attitudes Scale for Children scores added significantly to the prediction of Leyton Obsessive Inventory Child Version over and above the other variables. It is concluded that the study of the role of responsibility attitudes in children's obsessive‐compulsive symptoms is at least promising.     

Potential Clinical Implications of Implicit and Explicit Attitudes Within Possible Exercise Selves Schemata: A Pilot Study

Our purpose was to explore implicit as well as explicit exercise schemata of 51 inactive to highly active college students. For the implicit measure, a pilot study was used to establish the word set (exercise-related, nonexercise-related, and nonwords) for the lexical decision task. A latency differential was calculated based on reaction times to these word sets. Participants used self-regulatory functions to rate both hoped and feared exercise selves and reported workout hours. An estimate of aerobic fitness was derived. Results showed that implicit exercise attitudes were related to the importance placed on being an exerciser and on avoiding being a nonexerciser. Those who self-identified as an exerciser had higher levels of self-efficacy, workouts, and fitness. In contrast, those who self-identified as a nonexerciser were less active and fit and seemed to dwell on negative thoughts related to self-efficacy. Clinicians might help clients explore these attitudes, especially importance.     

问题解决中图式的建构:一项应用题分类研究

以小学三、四年级的60名儿童为被试,采用对基本算术应用题分类的方法测量图式,探讨了图式的作用以及影响图式获得的因素。结果表明,被试对问题的分类有前图式水平、图式水平、按解题程序分类三种情况,前两个水平又分成若干亚水平;图式的水平对问题解决成绩有预测作用;图式的水平和问题解决成绩均有显著的性别差异,女生优于男生。     

Loneliness and depressive symptoms: the mediating and moderating role of uncontrollable ruminative thoughts

Although feelings of loneliness often are accompanied by depressive symptoms, little is known about underlying mechanisms in this association. The present study sampled 370 college freshmen and investigated whether rumination (and its components of Uncontrollability, Causal Analysis, and Understanding) functioned as a mediator or moderator in the relationship between 2 types of loneliness (as experienced in the relationship with parents and with peers, respectively) and depressive symptoms. Results indicated that rumination partially mediated the relationship between peer-related loneliness and depressive symptoms and moderated the relationship between parent-related loneliness and depressive symptoms. In addition, the uncontrollable nature, rather than the content, of these ruminative thoughts about parent- and peer-related loneliness was particularly harmful in the development of depressive symptoms. Implications and suggestions for future research are discussed.     

The Role of Hope in the Psychological Adjustment of Gastropareutic Patients Receiving the Gastric Pacemaker: A Longitudinal Study

Hope, depressive symptoms, anxiety, and physical quality of life (QOL) were assessed in three subgroups of patients receiving the gastric pacemaker. Patients (n = 22) completed questionnaires prior to pacemaker implantation and at 3 and 6 months post-surgery. The idiopathic subgroup reported a significantly greater degree of hope and less anxiety at 6-month follow-up, compared to the diabetes patients. The idiopathic patients also reported significantly less anxiety at 6 months than the postsurgical patients. Across all subgroups, there was an increase in hope and physical QOL, and decrease in depressive symptoms and anxiety, from baseline levels. There was a significant negative relationship between hope and both depressive symptoms and anxiety at baseline and 3- and 6-month follow-up. Presurgical hope level did not significantly predict depressive symptoms or anxiety after implantation. This study provides evidence that the pacemaker improves the physical and psychological health of gastropareutic patients; hope appears to play a role in the psychological adjustment of these patients.     

Developmental, Gender, and Health-Related Variations in Self-Competence and Depressed Mood Among School-Aged Urban Children with Asthma: A Pilot Study

This pilot study examined associations among asthma status, gender, self-competence, and depressed mood across 2 years of middle childhood in a sample of 57 urban children. Results revealed no differences across health status in self-competence and depressed mood. Girls showed a significant increase in levels of self-competence from Year -1 to 2. Higher levels of self-competence were associated with lower levels of depressed mood at Year 1, at Year 2, and from Year 1 to 2. Self-competence accounted for a larger amount of the variance in depressed mood for girls than for boys. Changes in levels of self-competence were significantly associated with changes in depressed mood for girls only. Results suggest meaningful gender-based differences in the socioemotional trajectories of school-aged children, which should be considered when designing preventative interventions in urban environments.     

Superstitious perception: Response-independent reinforcement and punishment as determinants of recurring eccentric interpretations

This study provided controlled observations of a potential mechanism for the determination of the repetitive, aberrant perceptions or interpretations of everyday events that figure prominently in a range of psychological disorders: the adventitious reinforcement of acts of cognition by the actual consequences of concurrent motor acts. Adults made a series of two-choice brightness discriminations; on 60% of trials, choosing the brighter stimulus produced a “correct” signal while errors produced an aversive sound. On 40% of trials, the choice stimuli did not in fact differ in brightness; the consequences of responding on these “identical stimuli” trials differed across blocks of trials. Thus, on these trials perceptual judgments were directly followed by events that they did not produce. When all choices on identical stimuli trials were punished with the “error” sound, subjects showed little preference for the left-side or right-side identical stimuli, but when all choices of identical stimuli were reinforced with the “correct” light, individual preferences for the left-side or the right-side stimuli substantially increased. As the consequences of responding on identical stimuli trials were independent of the stimuli chosen, these findings provide evidence for superstitious perception, the reinforcement of perceptual acts by events that do not depend upon their occurrence.     

Experiments on the Automaticity of Political Beliefs and Attitudes

Political science has long relied on explicit responses in order to understand what and how people think. New research in the cognitive sciences suggests that this reliance on conscious considerations provides but a partial picture of how citizens think and reason. Given the limitations of conscious working memory and the growing evidence that much of human cognition occurs outside of awareness, the defining empirical assumption of modern public opinion research—that citizens can tell us what is on their minds—seems increasingly suspect. Moreover, social science is particularly challenged by the sensitivity of their topics, which in turn raises social and personal desirability concerns about self-report data. In order to overcome these limitations, we propose an implicit experimental approach. We contend that implicit measures enable us to measure some of the automatic and affective responses and predispositions that influence thoughts and behaviors outside of conscious awareness.     

Husbands' and Wives' Attachment Orientations and Depressive Symptoms: Predictors of Positive and Negative Conflict Behaviors in the Marriage

The present study examined both husbands' and wives' attachment orientations and depressive symptoms in predicting reports of marital conflict behaviors. Married couples (N = 60) completed questionnaires to assess their attachment orientations, depressive symptoms, and perceptions of positive and negative conflict behaviors in the marital relationship. Using hierarchical regression analyses, statistical models were tested wherein husbands' and wives' reports of marital conflict behaviors were regressed on their own and their spouses' attachment orientations and depressive symptoms. The results suggest that both attachment orientations and depressive symptoms were important predictors of reported marital conflict behaviors. However, different predictors were found for husbands' and wives' reports of positive and negative conflict behaviors. In general, spouses' attributes played only a small role in predicting reports of marital conflict behaviors.     

Disentangling the Relationships Among Self-Reflection,Insight, and Subjective Well-Being: The Role of Dysfunctional Attitudes and Core Self-Evaluations

Central to many psychological schools of thought is the notion that self-reflection leads to self-insight which, in turn, leads to enhanced well-being. However, empirical research has found that although self-insight is typically associated with well-being, self-reflection is frequently not associated with self-insight or well-being. Past attempts to understand this conundrum have tended to focus on the role of ruminative self-refection. Using a different approach this study investigates the roles of dysfunctional attitudes and positive core self-evaluations. Using data from 227 participants, two key findings are reported: first, dysfunctional attitudes suppress the relationship between self-reflection and self-insight; and second, positive core self-evaluations mediate the relationship between self-insight and subjective well-being. These two findings imply that a path exists from self-reflection to subjective well-being through self-insight and positive core self-evaluations. This path model was found to be a good fit. Implications for future research and positive psychological practice are discussed.     

Anxiety sensitivity as a specific and unique marker of anxious symptoms in youth psychiatric inpatients

We addressed several questions regarding the relation of anxiety sensitivity to anxious symptoms among 47 youth psychiatric inpatients (18 boys, 29 girls), ages 9–17 (M = 14.23, SD = 1.89). Participants completed measures of anxiety sensitivity, anxious and depressive symptoms, trait anxiety, and positive and negative affect; chart diagnoses were available. Consistent with hypotheses, we found that (a) anxiety sensitivity was associated with anxious symptoms, even controlling for trait anxiety and depressive symptoms; and (b) anxiety sensitivity displayed symptom specificity to anxious versus depressive symptoms (i.e., was associated with anxiety controlling for depression but not with depression controlling for anxiety). Furthermore, regarding factors of anxiety sensitivity, we obtained mixed support for our prediction that phrenophobia would be associated with both depression and anxiety, whereas fear of physical arousal would be associated with anxiety but not depression. Implications for the construct validity of anxiety sensitivity were discussed.     

Analysis of Emotions and Dysfunctional Attitudes in Depression

The current study was designed to examine the role of basic emotions and dysfunctional attitudes in depression. Moreover, six models related to the organization of emotions were examined through confirmatory factor analysis. Two hundred individuals with major depressive disorder were recruited from three clinical psychology centers. Participants completed a battery of questionnaires measuring basic emotions, dysfunctional attitudes, and depressive. Results demonstrated that the dysfunctional attitude of “need for approval” and the basic emotions of disgust and sadness could predict depressive scores positively and significantly. It was also shown that the dysfunctional attitudes could positively and significantly predict the two negative emotions of disgust and sadness. Thus, the findings supported an analysis in which the two basic emotions of sadness and disgust were elevated in individuals with depressive disorders. Confirmatory factor analysis supported the proposed basic emotions model and did not support alternative models, such as the positive affect and negative affect model.     

Examining the role of positive and negative metacognitive beliefs in depression

Many psychological models have been developed to explain the development and maintenance of depression. The most widely evaluated model is the cognitive model of depression, and it is against this model that emerging models should be compared. Accordingly, this cross‐sectional study examined whether metacognitive beliefs, as specified in the metacognitive model of depression, would explain additional variance in depressive symptoms over dysfunctional attitudes; the core feature of the cognitive model. Moreover, mediational relationships between metacognitive beliefs, rumination, and depressive symptoms, predicted by the metacognitive model were also explored, whilst controlling for dysfunctional attitudes. A sample of 715 students completed self‐report questionnaires measuring depressive symptoms, rumination, dysfunctional attitudes, and metacognitive beliefs. Regression analyses showed that metacognitive beliefs made a significant statistical contribution to depressive symptoms, after controlling for age, gender, rumination and dysfunctional attitudes. Furthermore, as predicted by the metacognitive model, the relationship between positive metacognitive beliefs and depressive symptoms was fully mediated by rumination, whilst the relationship between negative metacognitive beliefs about uncontrollability and danger and depressive symptoms was partially mediated by rumination. The results provide further empirical support for the metacognitive model of depression and indicate that positive and negative metacognitive beliefs play an integral role in the maintenance of depressive symptoms.     

Trends in burnout syndrome and emotional factors: an assessment of anesthesiologists in Southern Brazil, 2012

Burnout syndrome (BOS) is the result of chronic stress at work, and is characterized by emotional exhaustion (EE), depersonalization (DP), and low professional accomplishment. Anesthesiologyis a stressful profession. The aim of this study was to assess the prevalence of burnout as well as the sociodemographic and working characteristics associated with this syndrome’s emotional factors, in anesthesiologists from Southern Brazil. We assessed burnout severity, depressive symptoms, and self-esteem using the Maslach burnout inventory, the Beck depression inventory, and the Rosenberg self-esteem scale, respectively. Of the 198 anesthesiologists included in this study, 48.7% were positive for burnout, 26.9% for EE, 41.3% for DP and 32.7% for low personal accomplishment. Trends in BOS was associated with a younger age, difficulty to conciliate family and work demands, low self-esteem, and depressive symptoms.     

Mothers' and Fathers' Depressive Symptoms and Conflict-Resolution Strategies in the Marriage and Children's Externalizing and Internalizing Behaviors

The authors examined mothers' and fathers' avoidance and attacking conflict-resolution strategies in the marriage and their depressive symptoms as they related to children's externalizing and internalizing behaviors. A nonclinical community sample of 51 families and their children's 1st-grade teachers (N = 41) participated. Both mothers and teachers completed a behavior-problem checklist in order to evaluate the incidence of internalizing and externalizing behaviors in the children. Correlational statistics revealed significant associations between parents' avoidance and attacking strategies and their depressive symptoms. Also, parents' use of avoidance was related to more internalizing behaviors in the children. When hierarchical regression analyses were used to examine the contributions of the parents' attributes to children's externalizing and internalizing behaviors, mothers' avoidance and an interaction between mothers' and fathers' avoidance were identified as significant predictors of children's internalizing behaviors.     

Effect of Depressive Symptoms and Sex on the Relationship Between Loneliness and Cigarette Dependence: A Moderated Mediation

Loneliness is a subjective and emotionally unpleasant experience of perceiving insufficient social relationships. Previous research has revealed that loneliness constitutes a psychosocial risk factor for depression, and is also related to unhealthy behaviors such as smoking. This study aims to examine the relation between loneliness, depression, and cigarette dependence, and to explore the role of sex in this relationship. A total sample of 275 adult treatment-seeking daily smokers (Mage = 45.3; 61.5% females) was used. Our results showed a significant correlation between higher scores of loneliness, depressive symptoms, and cigarette dependence. In addition, mediation analysis showed a significant indirect effect of loneliness on cigarette dependence, via depressive symptoms. Regarding the effect of sex, we found that this variable significantly moderated the relationship between depressive symptoms and cigarette dependence. Results of this study extend previous literature by showing that, in treatment seeking smokers, loneliness is a significant predictor of depressive symptoms, and through this relation, it predicts cigarette dependence. Additionally, sex was a significant moderator of this relation. These findings have several clinical implications, and also contribute to the understanding of cigarette dependence, which is a well-known barrier for smoking cessation.