父母冲突对儿童青少年抑郁情绪的影响：有调节的中介模型

采用方便取样法选取山西、河南两省的2823名中小学生为被试,使用问卷法考察父母冲突与儿童青少年抑郁情绪之间的关系及机制。结果表明：（1）父母冲突、亲子关系、自尊均与抑郁呈显著相关;（2）父母冲突可以正向预测抑郁,亲子关系在其中起部分中介作用;（3）父母冲突影响抑郁的有调节的中介模型成立,其中自尊在前半段和后半段路径中均起调节作用,但作用有所不同。     

Psychological characteristics of elderly insomniacs

Sixty insomniacs, aged 60 years or over, fulfilling the DSM-IV criteria for primary insomnia, completed a set of questionnaires measuring psychological distress. These included the Sleep Impairment Index (SIM), the Symptom Check List 90-Revised (SCL-90-R), the Penn State Worry Questionnaire (PSWQ), the Toronto Alexithymia Scale-20 (TAS-20) and the Elders Life Stress Inventory (ELSI). The insomniacs were compared on these measures with two contrast groups, one of elderly good sleepers and one an elderly community sample. As norms were developed for the SCL-90-R and PSWQ, insomniacs were also contrasted with the norm groups on these measures. In general, the results indicated a higher level of psychological distress among insomniacs than among the good sleepers, while there were negligible differences between insomniacs and the community sample on most measures. Overall, elderly insomniacs scored higher on measures of worry compared with the other groups, followed by measures of somatization, obsessive-compulsion and depression. It is concluded that excessive worrying was the most characteristic feature of elderly insomniacs.     

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.     

A brief screening tool for suicidal symptoms in adolescents and young adults in general health settings: reliability and validity data from the Australian National General Practice Youth Suicide Prevention Project

Using data from a nationwide project on young people in Australia aimed at assessing suicidality in general health settings, we present a brief screening tool for suicidality (the depressive symptom index suicidality subscale). Two thousand eight hundred and fifty-one (15-24 year old) patients presenting to 247 Australian general practitioners between 1996 and 1998 were assessed. In addition to the suicide screen, patients completed the general health questionnaire-12 and the Center for Epidemiological Studies depression scale. Patients' chief complaints were taken from the summary sheets completed by their general practitioners. Using inter-item correlational and factor-analytic techniques, as well as a general approach to construct validity, we show that the measure has favorable reliability and validity characteristics. We also provide results on cut-points that may facilitate its use in clinical and research settings. Because the screen is brief, easy to use, reliable, and valid, we encourage its use to combat the vexing international health problem of suicide.     

Obsessive–compulsive symptoms, white noise and intrusions of self–relevant negative thoughts in a thought suppression paradigm

Forty female students participated in an experiment where they were asked to suppress a negative self-relevant thought. Half the group suppressed in a loud white noise condition (90 decibels) whereas the other half suppressed in a noise condition of much lower intensity (50 decibels). The subjects were divided up into two groups on the basis of their scores on the Obsessive Compulsive Thoughts Checklist (Bouvard, Cottraux, Mollard, Arthus, Lachance, Guerin, Sauteraud & Yao, 1997). It was predicted that 1) Subjects scoring high on obsessive-compulsive symptoms would show more intrusive thoughts 2) Loud noise would increase intrusive thoughts, especially for subjects scoring high on obsessive-compulsive symptoms. As expected subjects who scored high on obsessive-compulsive symptoms showed more intrusive thoughts, but contrary to expectations loud noise did not increase intrusive thoughts. In fact obsessive-compulsive symptoms were related to more intrusions in the condition of noise of less intensity but not in the condition of loud noise. Implications are discussed.     

Life Stressors, Social Support, and Depressive Symptoms Among First-Time Welfare Recipients

This paper examines the associations among stressful life events, social support, and depressive symptoms in a sample of 580 first-time welfare recipients. Self-reported number of depressive symptoms was greater than in corresponding community samples. Stressors and social supports made independent main effect contributions to depressive symptoms in a multiple regression analysis. Women with transportation barriers to employment, those experiencing greater numbers of stressful life events, and those who were less satisfied with their housing situation reported greater numbers of depressive symptoms. In contrast, women who were more satisfied with their social support and those with higher attendance at religious services reported fewer depressive symptoms. Implications for welfare reform policy and programs are discussed.     

The relation of the anger subcomponent of Type A behavior to psychological symptoms in Japanese and foreign students

The relations of the Type A behavior subcomponents to psychological symptoms were examined. Participants were 429 Japanese college students and 307 foreign students. Type A behavior was measured by the Everyday Behavior Questionnaire, developed in part from several rating scales and composed of four subcomponents: anger/impatience, speed, competitiveness/hard-driving, and eagerness/interest. The Hopkins Symptom Checklist was used to measure psychological symptoms. The results of multiple regression analyses on the Type A behavior subcomponents and psychological symptoms indicated strong positive relations between anger/impatience and psychological symptoms, in both Japanese and foreign students. It was concluded that the Type A subcomponents anger and impatience seemed to worsen the psychological health of individuals of various cultural backgrounds.     

Marital Conflict and Risk for Child Maladjustment over Time: Skin Conductance Level Reactivity as a Vulnerability Factor

Skin conductance level reactivity (SCLR) was examined as a longitudinal mediator and moderator of relations between parental marital conflict and psychopathology among children and young adolescents. Participants were 157 boys and girls (M age at T1 = 9.31 years; SD = 1.97); there was a 2-year lag between T1 and T2 assessments. At T1, participants' SCLR was assessed in response to lab challenges. Parents completed measures of aggressive marital conflict and child adjustment at T1 and T2. Supportive of moderation effects, T1 marital conflict interacted with T1 SCLR and gender in the prediction of changes in maladjustment. The link between marital conflict and increased internalizing and externalizing symptoms was stronger for girls with higher SCLR than girls with lower SCLR. Marital conflict predicted increased externalizing behaviors for boys with lower SCLR but not higher SCLR, although levels of externalizing behaviors were similar among boys with lower and higher SCLR especially at higher levels of marital conflict. Findings build on the literature by illustrating the importance of examinations of both family risk and youth biological vulnerability for the prediction of psychopathology.     

Maternal and Paternal Depressive Symptoms and Child Maladjustment: The Mediating Role of Parental Behavior

This study examined parental behaviors as mediators in links between depressive symptoms in mothers and fathers and child adjustment problems. Participants were 4,184 parents and 6,048 10- to 15-year-olds enrolled in the 1998 and 2000 cycles of the Canadian National Longitudinal Survey of Children and Youth. Mothers and fathers self-reported symptoms of depression at Times 1 and 2 and their children assessed parental nurturance, rejection, and monitoring and self-reported internalizing and externalizing problems and prosocial behavior at Time 2. Hierarchical linear modeling showed evidence of mediation involving all three domains of parental behavior. Findings supported the hypothesis that the quality of the child's rearing environment is one mechanism that carries risk to children of depressed parents. Interventions for parents whose symptoms of depression interfere with parenting responsibilities could help reduce the risk of some childhood disorders.     

Affect sensitivity and affect regulation in dealing with positive and negative affect

Interactions between two types of affect sensitivity and two types of affect regulation were tested: low sensitivity to positive affect and high sensitivity to negative affect were expected to become maladaptive when self-motivation and self-relaxation are low, respectively. Consistent with expectations, specific Sensitivity × Regulation interactions emerged: low sensitivity to positive affect (i.e., independent, schizoid-like personality) was only associated with reduced emotional well-being when self-motivation was low. High sensitivity to negative affect (i.e., self-critical, avoidant-like personality) was only associated with psychosomatic symptoms when self-relaxation was low. In a subsample, the same results were obtained longitudinally. Findings support the distinction between affect sensitivity and affect regulation. Furthermore, affect regulation can be differentiated into self-motivation and self-relaxation.