A Longitudinal Examination of Stress Generation in Depressive and Anxiety Disorders

作者:Uliaszek Amanda A*; Zinbarg Richard E; Mineka Susan; Craske Michelle G; Griffith James W; Sutton Jonathan M; Epstein Alyssa; Hammen Constance
来源:Journal of Abnormal Psychology, 2012, 121(1): 4-15.
DOI:10.1037/a0025835

摘要

The current study compared two competing theories of the stress generation model of depression (stress causation vs. stress continuation) using interview-based measures of episodic life stress, as well as interpersonal and noninterpersonal chronic life stress. We also expanded on past research by examining anxiety disorders as well as depressive disorders. In addition, we examined the role of neuroticism and extraversion in these relationships. Participants were 627 adolescents enrolled in a two-site, longitudinal study of risk factors for depressive and anxiety disorders. Baseline and follow-up assessments were approximately one year apart. Results supported the stress causation theory for episodic stress generation for anxiety disorders, with neuroticism partially accounting for this relationship. The stress causation theory was also supported for depression, but only for more moderate to severe stressors; neuroticism partially accounted for this relationship as well. Finally, we found evidence for interpersonal and noninterpersonal chronic life stress continuation in both depressive and anxiety disorders. The present findings have implications regarding the specificity of the stress generation model to depressive disorders, as well as variables involved in the stress generation process.