Risk Factors for Depression in Adolescents With ADHD: The Impact of Cognitive Biases and Stress

被引:13
作者
Shapero, Benjamin G. [1 ,6 ]
Gibb, Brandon E. [9 ,10 ]
Archibald, Abigail [2 ]
Wilens, Timothy E. [3 ,6 ]
Fava, Maurizio [4 ,6 ,7 ]
Hirshfeld-Becker, Dina R. [5 ,8 ]
机构
[1] Massachusetts Gen Hosp, Psychol, Boston, MA 02114 USA
[2] Massachusetts Gen Hosp, Depress Clin & Res Program, Boston, MA 02114 USA
[3] Massachusetts Gen Hosp, Boston, MA 02114 USA
[4] Massachusetts Gen Hosp, Dept Psychiat, Boston, MA 02114 USA
[5] Massachusetts Gen Hosp, Child Cognit Behav Therapy Program, Boston, MA 02114 USA
[6] Harvard Med Sch, Psychiat, Boston, MA 02115 USA
[7] Harvard Med Sch, Clin & Translat Res, Boston, MA 02115 USA
[8] Harvard Med Sch, Dept Psychiat, Psychol, Boston, MA 02115 USA
[9] SUNY Binghamton, Psychol, Binghamton, NY 13902 USA
[10] SUNY Binghamton, Clin Training Program, Binghamton, NY 13902 USA
关键词
ADHD; depression; stress; cognitive biases; adolescence; risk; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; DEFICIT-HYPERACTIVITY DISORDER; INFORMATION-PROCESSING BIASES; MALTREATED CHILDREN; CLINICAL DEPRESSION; FACIAL EXPRESSIONS; MAJOR DEPRESSION; EMOTIONAL FACES; EEG RESPONSES; PEER PROBLEMS;
D O I
10.1177/1087054718797447
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: Youth diagnosed with ADHD are at heightened risk of depression. However, many do not develop depression. Individuals with specific cognitive biases are more likely to develop depression yet it remains untested whether these vulnerability-stress models apply to depression risk in youth with ADHD. Method: We examined whether interpretation and attention biases moderated the relation between stressful life events and depressive symptoms in a sample of adolescents (M-age = 14.42) with ADHD (n = 59) and without ADHD (n = 36). Results: Youth with ADHD experienced more stressful life events compared with those without ADHD. Interpretation biases moderated the association between stress and depressive symptoms in youth with and without ADHD. Attention biases moderated the association between stress and depressive symptoms in the non-ADHD youth only. Conclusion: These results enhance our understanding of vulnerability for depression in adolescence with ADHD and inform targeted prevention and treatment models during this critical developmental juncture.
引用
收藏
页码:340 / 354
页数:15
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