摘要
目的在中国大学生人群中对抑郁的应激-认知易感性模型进行初步构建和实证分析。方法647名大学生完成测验，测查量表为学生日常生活和学习应激量表（GSASHS）和流调中心用抑郁量表（CES—D），认知方式问卷（CSQ）、功能失调态度量表（DAS）、反应方式问卷（RSQ—SF）、自尊问卷（SEQ），1月后进行追踪测查。结果认知易感因素与应激的交互作用进入回归方程，对抑郁的发作均有预测作用，增强了抑郁发作的可能（P〈0．01）；路径分析显示：负性认知→过分思虑→抑郁是一条重要的作用路径，过分思虑是一个关键的中介（β=-0．31，P〈0．01）；整合的应激-认知易感性模型有较好的拟合指数，GFI=0．95，CFI：0．94，IFI=0．94，RMSEA=0．085。结论在中国大学生人群初步的构建和验证了一个抑郁的应激．认知易感性模型，过分思虑是一个关键的中介。
Objective To test the validity of the stress-cognition vulnerability-model of depression in Chinese undergraduates. Methods 647 undergraduate students finished the Chinese version of 6 scales in time one. Cognitive Style Questionnaire （ CSQ ）, Response Styles Questionnaire （ RSQ-SF）, Self-Esteem Questionnaire （ SEQ ）, Dysfunctional Attitudes Scale（DAS） , General Social and Academic Hassles Scale for Students（ GSASHS ） , Center for Epidemiologic Studies Depression Scale （CES-DA）follow-up assessment in 1 month later, the General Social and Academic Hassles Scale for Students（GSASHS） scale and Center for Epidemiologic Studies Depression Scale （CES-D） scale were completed. Then,vulnerability factors for depression symptoms were used to predict depression symptoms by Multiple Hierarchical Regression （MHR）. Path analysis and structural equation model （SEM） were used to explore integrated vulnerability-stress model of depression in Chinese undergraduates. Results Vulnerability-stress interaction was entered into regression equation. The results showed that the vulnerability-stress interaction provided incremental predictive validity to depressive. Symptoms path analysis showed that negative cognition →rumination --→depression was a important pathways to cause depression （/3 = - 0.31, P 〈 0.01 ）. The structural equation model for integrated vulnerability-stress model of depression analysis indicated the fit index ： GFI = 0.95, CFI = 0.94, IFI = 0.94, RMSEA = 0. 085. Conclusion A cognition vulnerability-stress models of depression in Chinese undergraduates was provided and to be confirmed. The rumination was a important mediated variable.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2011年第7期647-650,共4页
Chinese Journal of Behavioral Medicine and Brain Science
关键词
认知
易感性-应激模型
抑郁
Cognition
Vulnerability-stress model
Depression
