Abstract:
The hopelessness theory, Beck\'s cognitive theory, and the response styles theory dominate our understanding and the treatment of depression in adolescents. However, research supporting them is largely based on White individuals. Further, the associations between stressors, cognitive vulnerabilities, and depressive symptoms in Black adolescents are not as one would expect based on the predictions from those theories. Both raise the question of if and to what degree these theories and previous findings can be generalized to Black adolescents. Additionally, without a theoretical basis, clinicians regularly use interventions developed based on one theory to influence vulnerabilities described in another theory. Thus, the purpose of our study was to examine the structure of an integrated cognitive stress-vulnerability model as well as the strengths of associations between stressors, cognitive vulnerabilities, and depressive symptoms in Black and White adolescents. In our study, 295 Black (37% female) and 213 White (49% female) ninth-grade students from a public high school participated. Network analyses demonstrated that the three original cognitive theories of depression can and should be integrated and that each variable we examined is comparably relevant for Black and White adolescents. At the same time, the structure of the two integrated networks differed significantly among Black and White adolescents, exhibiting specific distinctions at four edge levels. Furthermore, the predictability of the network is notably lower for Black adolescents than for White adolescents. Important theoretical and clinical implications can be derived.
摘要:
绝望理论,贝克的认知理论,反应风格理论主导着我们对青少年抑郁症的理解和治疗。然而,支持他们的研究主要基于白人个体。Further,压力源之间的关联,认知脆弱性,根据这些理论的预测,黑人青少年的抑郁症状并不像人们所期望的那样。两者都提出了一个问题,即这些理论和先前的发现是否以及在多大程度上可以推广到黑人青少年。此外,没有理论基础,临床医生经常使用基于一种理论开发的干预措施来影响另一种理论中描述的漏洞.因此,我们研究的目的是研究综合认知压力脆弱性模型的结构以及压力源之间关联的优势,认知脆弱性,黑人和白人青少年的抑郁症状。在我们的研究中,来自公立高中的295名黑人(37%为女性)和213名白人(49%为女性)九年级学生参加了会议。网络分析表明,抑郁症的三种原始认知理论可以而且应该整合,我们检查的每个变量与黑人和白人青少年相当相关。同时,这两个综合网络的结构在黑人和白人青少年中差异显著,在四个边缘水平上表现出特定的区别。此外,黑人青少年的网络可预测性明显低于白人青少年。可以得出重要的理论和临床意义。