浅析青少年抑郁问题

青少年抑郁的患病率逐年递增,这一问题已引起人们的极大关注。本文在对青少年抑郁症的定义及诊断标准作了简单说明后,详细分析了引发青少年抑郁症的四种可能因素;同时对于如何预防青少年抑郁提供了几个可行的方案。     

555例危险行为高危青少年的心理干预：来自个体辅导和团体辅导的效果对照

对有较高风险发展为危险行为青少年的高危群体实施有针对性的心理干预是非常有价值的。本研究对青少年危险行为高危人群进行结构化的个体与团体心理干预,评估两种干预的即时效果和六个月的预后情况。采用《青少年健康相关危险行为问卷》等量表对16所中职院校的学生进行筛查,共555名学生参加本研究,被随机分为个体、团体和对照组并分别进行干预。结果发现：干预后,个体心理干预组被试的危险行为水平、心理健康以及抑郁和焦虑情绪均获得显著改善,并且6个月的预后效果依然明显,而接受团体辅导干预组仅在抑郁指标上有所改善,在危险行为评分、焦虑和心理健康水平上均没有明显的改善。研究认为,对危险行为易感青少年的心理干预应以经过良好设计的个体心理干预为主、团体干预为辅的方式进行。     

青少年的一个心理问题——抑郁症

本对青少年中经常出现的抑郁现象作了分析。列举抑郁症的部分特征和可能造成抑郁症的原因，并提出了解决抑郁症的方法。     

青少年抑郁:基于社会支持的视角

青少年罹患抑郁的社会因素受到研究者们的密切关注,尤其是社会支持因素。本文首先总结了社会支持与青少年抑郁关系的内在机制,包括主效应机制和缓冲效应机制;其次论述了影响社会支持与青少年抑郁关系的多种因素,主要涉及来自于社会支持提供者、社会支持接受者和测量方法等方面的因素。社会支持提供者因素包括性别、数量和社会地位;社会支持接受者因素包括性别、年龄、个体内在特征、人格特征以及遗传;此外方法主要涉及社会支持与抑郁症的测量。最后提出了未来的研究方向,如测量方法的改进、元分析纵向研究的开展、线上支持的研究,为青少年抑郁的社会干预提供更多的研究视角。     

青少年抑郁:基于社会支持的视角

青少年罹患抑郁的社会因素受到研究者们的密切关注,尤其是社会支持因素。本文首先总结了社会支持与青少年抑郁关系的内在机制,包括主效应机制和缓冲效应机制;其次论述了影响社会支持与青少年抑郁关系的多种因素,主要涉及来自于社会支持提供者、社会支持接受者和测量方法等方面的因素。社会支持提供者因素包括性别、数量和社会地位;社会支持接受者因素包括性别、年龄、个体内在特征、人格特征以及遗传;此外方法主要涉及社会支持与抑郁症的测量。最后提出了未来的研究方向,如测量方法的改进、元分析纵向研究的开展、线上支持的研究,为青少年抑郁的社会干预提供更多的研究视角。     

中国青少年抑郁的核心症状及性别、抑郁程度间的比较：基于网络分析方法

基于精神障碍网络理论,采用中文版流动调查中心抑郁量表对3634名青少年进行调查,使用网络分析方法考察了我国青少年抑郁的核心症状,比较不同性别和抑郁程度青少年的抑郁症状特征网络。结果发现：（1）我国青少年抑郁的核心症状为压抑情绪、失败感、悲伤和乏力;（2）不同性别青少年的抑郁症状网络结构、网络连接强度和核心症状不存在显著差异;（3）不同抑郁程度青少年的抑郁症状网络结构、网络连接强度、核心症状存在显著差异。     

母亲抑郁对青少年抑郁的影响:亲子关系的中介作用与青少年消极情绪性的调节作用

对1708名八年级青少年（平均年龄14.30±0.48岁,男生852名）及其母亲（平均年龄39.17±2.47岁）的抑郁症状、母子关系和青少年消极情绪性进行测量,考察了母亲抑郁对青少年抑郁的影响机制。结果发现：（1）母亲抑郁能够正向预测青少年的抑郁;（2）母子关系在母亲抑郁与青少年抑郁之间起中介作用,母亲抑郁既能增加母子冲突的强度,也能降低母子亲合水平,进而导致青少年的抑郁;（3）青少年消极情绪性在母亲抑郁影响青少年抑郁的中介机制中起调节作用,仅在高消极情绪性的青少年中,母子冲突能够显著预测青少年的抑郁;但消极情绪性不能调节母子亲合对青少年抑郁的影响;（4）母亲抑郁影响青少年抑郁的有调节的中介模型不存在性别差异。     

青少年抑郁症患者的团体人际心理治疗

青少年抑郁症患者的团体人际心理治疗是建立在人际心理理论基础之上,具有循证医学理论依据的心理治疗方法.它是将原本应用于治疗成人抑郁症的人际心理治疗理论和程序经过修正后应用于青少年抑郁症的治疗.实践表明,青少年抑郁症的团体治疗目标明确,实施领城广泛,具有校为明显的疗效和多方面的积极作用.但是该疗法仍然有许多未解决的问题,需要更进一步的理论突破和实务研究.     

青少年人际心理治疗干预抑郁症的新进展

人际心理治疗（interpersonal psychotherapy,IPT）是世界卫生组织推荐的一线抑郁症治疗方法,它建立在实证研究基础上,通过改善人际关系来减轻病人的抑郁症状。因其成本低、易实施,近年来倍受关注。文章介绍了人际心理治疗在青少年群体中的应用过程,对比分析发现该方法治疗效果优于常规治疗,人际心理治疗对青少年自我概念及社会适应有显著改善作用。人际心理治疗与认知行为疗法一样能有效减轻患者抑郁症状,两者疗效相当。另外,人际心理治疗在青少年中还有很多形式和拓展,疗效也获得证实,值得未来做更多推广和应用性研究。     

青少年药物滥用的防治

随着社会转型所带来的生活方式多元化,青少年药物滥用现象,在威胁着青少年身心健康的同时,也破坏了社会的和谐与发展.一般来说,其形成原因包括自身、家庭、学校和社会等多种因素,因而,预防和解决青少年药物滥用问题,就需要建立一套涉及多个层面的防治体系.     

Computerised Cognitive Behavioural Therapy for the Prevention and Treatment of Depression and Anxiety in Children and Adolescents: A Systematic Review

Research has shown that computerised cognitive behaviour therapy (cCBT) can be effective in the treatment of depression and anxiety in adults, although the outcomes with children and adolescents are unclear. The aim of the study is to systematically review the literature on the effectiveness of cCBT for the prevention and treatment of depression and anxiety in children and adolescents. EMBASE, PsychInfo and Pubmed were searched using specific terms and inclusion criteria for cCBT studies involving young people under the age of 18. A hand search was also conducted, and the authors were contacted to identify additional papers. Ten studies met the inclusion criteria. These included case series and randomised controlled trials concerned with both treatment and prevention. Six different software packages were described that varied in length and the nature and extent of professional contact and supervision. All studies reported reductions in clinical symptoms and also improvements in variables such as behaviour, self-esteem and cognitions. Satisfaction with treatment was moderate to high from both children and parents, though levels of drop out and non-completion were often high. Additional randomised controlled trials are required, as the literature is currently limited. However, preliminary evidence suggests that cCBT is an acceptable and effective intervention for this age group.     

From the Clinic to Schools: Iterative Development of a Depression Prevention Program for Adolescents With ADHD Within an Urban School System

Attention-deficit/hyperactivity disorder (ADHD) is a prevalent disorder, particularly among Black youth and youth in urban settings. In addition to well-documented academic and social dysfunction, ADHD is associated with increased risk for depression and suicide. However, there is a stark mismatch between services available and need among adolescents with ADHD, especially those from low-income backgrounds. Implementation of services in schools is one promising way to overcome barriers to care, decrease stigma associated with mental health care, and offer the ability to practice mental health skills in a more natural environment. As such, the current study aims to (a) describe the iterative development of a school-based depression prevention program (i.e., Behaviorally Enhancing Adolescents’ Mood in Schools [BEAMS]) for adolescents with ADHD in an underresourced, urban school district using stakeholder feedback; and (b) evaluate the preliminary effectiveness of an open trial of BEAMS. Raw data for all participants (n = 6; 83% Black, 17% biracial; 83% male) with indications for significant Reliable Change Indices are presented in addition to two case vignettes to illustrate treatment components and exemplify participant response. Pre- and posttreatment focus group data are presented to depict the development of the BEAMS program, lessons learned, and modifications made to BEAMS, in preparation for a larger randomized trial. Future directions are discussed.     

Comorbidity of Anxiety and Depression in Children and Adolescents: An Integrative Review

Much evidence exists documenting the comorbidity of anxiety and affective disorders in youth. Furthermore, comorbidity appears to have serious implications both in terms of severity of impairment and course of disorder. Despite this, little is known about the meaning behind the high rate of co-occurrence of anxiety and depression in children and adolescents. Several conditions exist that may give rise to comorbidity. Specifically, two disorders may be comorbid when there is a high rate of symptom overlap between the disorders, when one underlying construct is split into two separate disorders, when the disorders share common risk or etiological factors, or because one disorder causes or increases the risk of developing the second disorder. The present paper examines each of these explanations as they relate to the comorbidity of anxiety and depression in youth.     

Longitudinal Associations between Depression and Aggression in Children and Adolescents

Due to the longstanding and detrimental effects of engaging in aggressive behaviour and of experiencing symptoms of internalizing problems in children and adolescents, there is an increasing interest in identifying the temporal sequence between these 2 problems with previous research yielding inconsistent findings. Therefore, the longitudinal links between relational aggression, physical aggression, and depression were examined across 7 years in a sample of 643 children (54 % girls) aged 10 at Time 1. Three models were compared— (1) the failure model, in which aggression predicted depression, (2) the acting out model, in which depression predicted aggression, and (3) a reciprocal model, in which both aggression and depression shared a reciprocal relation over time. Cross-lagged path analyses using structural equation modeling supported the failure model (i.e., engaging in relational and physical aggression predicts subsequent depressive symptoms). Findings were similar for boys and girls. These findings add to the literature suggesting that externalizing problems precede internalizing problems.     

Adolescent help-seeking and the Yellow Ribbon Suicide Prevention Program: an evaluation

The Yellow Ribbon Suicide Prevention Program has gained national and international recognition for its school- and community-based activities. After the introduction of Yellow Ribbon to a Denver-area high school, staff and adolescents were surveyed to determine if help-seeking behavior had increased. Using a pre-post intervention design, staff at an experimental school and comparison school were surveyed about their experiences with student help-seeking. Additionally, 146 students at the experimental high school were surveyed. Staff did not report any increase in student help-seeking, and students' reports of help-seeking from 11 of 12 different types of helpers did not increase; the exception was help-seeking from a crisis hotline, which increased from 2.1% to 6.9%. Further research with larger, more inclusive samples is needed to determine whether Yellow Ribbon is effective in other locations.     

Anxiety and Depression in Children and Adolescents: A Factor-Analytic Examination of the Tripartite Model

The tripartite model of Clark and Watson (1981) suggests that the oft-observed covariation between anxiety and depression can best be understood by examining three related yet distinct constructs: negative affectivity, positive affectivity, and elevated physiological arousal. In the present study, 510 boys and girls in the 4th, 7th, and 10th grades completed the Children's Depression Inventory and the Revised Children's Manifest Anxiety Scale. Confirmatory factor analyses were conducted to determine the goodness of fit of single-factor (i.e., negative affectivity), two-factor (i.e., anxiety and depression), and three-factor models (i.e., negative affectivity, positive affectivity, and physiological arousal). Analyses were conducted by examining each of the models in the whole sample first and then separately for boys and girls and for fourth, seventh, and tenth grade youths. Results failed to support the tripartite theory; rather, the findings supported a two-factor model in all cases. These factors represented the general constructs of anxiety and depression, and these factors remained significantly interrelated. Consistent with previous findings, the strength of these relations was stronger for boys than girls and for children than adolescents.     

School-Based Intervention Strategies for the Treatment of Depression in Children and Adolescents

Depression in children and adolescents is a major problem of which special service providers need to be aware. In recent years, a number of advances have been realized in the identification of depression in youngsters via self-report depression scales. There have also been advances in the development of cognitive-behavioral intervention strategies for the amelioration of depressive symptomatology in children and adolescents. This article describes components of treatment programs that have demonstrated efficacy in the treatment programs that have demonstrated efficacy in the treatment of depressed youngsters. Specific components described include: self-monitoring, activity scheduling, cognitive restructuring, attribution retraining, self-evaluation training, self-reinforcement training, and relaxation training. Results of several group treatment studies that have utilized the components delineated are presented. Recommendations as well as cautions are put forth for special service providers in the use of these therapeutic techniques with depressed children and adolescents.