Cognitive mechanism of adolescent depression
February 27, 2024 11:03 Source: "China Social Sciences", February 27, 2024, Issue 2840 Author: Jiang Ke

Speaking of teenagers depression,What is the easiest to associate with everyone is those children who are in the youth flower season but choose to end their lives。Actually,In addition to a few people who make extreme actors,More adolescents are suffering from the distress of teenagers。Some of them express the pain of depression through self -harm; some retreat the cocoon,Give up all social communication and active behavior; others look very sunny、Kailang,Smile with a noodle,But may be torture of "invisible depression"。

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Youth depression is a psychological obstacle to the 10th edition of the International Disease Classification Standard (ICD-10) by the World Health Organization for more than ten years,refers to children、Depression emotional disorders on teenagers,Often manifested as a long -term emotional low、Social avoidance、Self -injury behavior,and accompanied by emotional fluctuations、Easy to irritate symptoms。Seriously leading to social retreat、Schizophrenia hair loss depression、Trimary emotional disorders and other severe mental illness symptoms,Even extreme consequences such as suicide。A survey report on the newly published in "Liu Ye Dao" pointed out,15-24 -year -old people are the most affected by depression。"2020 depression patient group survey report" also shows,Atlantic interviewees at the age of 18-25 believe that the cause of adolescent Bet365 lotto review depression includes irreconcilable contradictions in native families、I feel disappointed with myself in academic competition、Transmission of anxiety and stress of adults,Make young people at the end of social anxiety and pressure chain。

Based on the World Health Organization estimation,About 3.8%of people in the world have experienced depression; the incidence of depression of adolescents exceeds 4%。This means,Depression is a more serious mental health problem among adolescents。

At the end of April 2023,17 departments including the Ministry of Education and other 17 departments jointly issued the "Special Action Plan for Comprehensively Strengthen and Improve Student Mental Health Work in the New Era (2023-2025)",Proposal to standardize mental health monitoring、Improve psychological early warning intervention、Optimize social psychological service,Strengthen Children's Hospital、Psychiatric Hospital and Maternal and Child Health Institutions Children's Psychological Counseling and Specialist Clinic Construction。However, in the current medical practice,Psychiatrist's diagnosis of depression is more subjective。This is because the cause and pathogenesis of depression are not clear,So,It is difficult to diagnose the cause of the cause in clinical practice; it cannot be objective、Quantitative indicators to diagnose。For adolescent depression,The diagnostic criteria commonly used by psychiatrist are: "International Classification Classification" formulated by the World Health Organization (ICD-10/11)、The fifth edition of the "Psychiatric Diagnosis and Statistics Bet365 app download Manual" formulated by the American Psychological Association (DSM-5) and the "Specific Diagnosis and Treatment Specification (2020 Edition)" issued by the National Health and Health Commission in 2020。These diagnostic standards do not treat adolescent depression with adult depression,and most of them depend on the patient's self -report。So,Misunderstanding in the diagnosis of adolescent depression、Low -diagnosis is not uncommon。

The psychological mechanism of exploring the depression of adolescents,Find the right objective parameters as an indicator for the diagnosis of teenagers,It is the current clinical -cognitive psychology research that needs to be dealt with。

  Double -target experiments: Pay attention to patients with depression in young people

Research indications,Depression is accompanied by negative bias for information processing,is when facing objects with emotional characteristics,Evil patients will be easier to notice the content of negative emotions。Current,Researchers generally believe that patients with depression do not generate cognitive bias during the attention of negative information,but lacks a "protection bias",It is manifested as a missing tendency to avoid negative information。Specifically,ordinary people observe negative information,A response to avoiding or escaping will be naturally made。The manifestations of patients with depression are opposite,There is difficulty in the termination of negative information。Researchers think,This relief difficulty is related to emotional management obstacles and continuous negative emotional experiences。

bet365 live casino games Based on the results of the previous research,We further proposed that the occurrence of depression of adolescents is related to the cognitive deviation of the growth and development stage。During the growth and development period of teenagers,Psychological cognitive functions often produce adaptability due to rapid physiological characteristics。Some children may react to negative emotional information because of the difference,Here, pay attention to relieve difficulties。To verify this assumption,We use a classic paradigm in the experiment of cognitive psychology to detect the cognitive differences between depression and ordinary children。This paradigm is called "dual -target paradigm",It is required that young people make judgments to two emotional faces before and after the extremely short time interval。The recognition of the previous facial emotional identification of the teenager will interfere with the identification of the latter face emotions。We record and calculate the nature and size of this interference,You can understand the negative bias features of young people in emotional recognition mission,Then understand the possible factor that affects the depression of adolescents。

Experimental results carried out by the research group member Zhu Shasha showed,Ordinary adolescents and depression teenagers have no difference in identifying different facial emotions; depression teenagers do not have excessive attention and alert to negative stimuli。but,The emotions of the current latter two faces are negative,Depression Youth and normal adolescents bet365 live casino games show different reactions trends。We have reason to think,This difference is because the negative emotional face that appears first causes the cognitive deviation of depression teenagers。They did not show normal "protection bias",Leave or avoid negative stimulation as soon as possible,Instead, it invested more cognitive resources for negative stimuli。After these negative information became the key goal of patient cognitive processing,There will be difficulties in paying attention to lift。

Through the evaluation and calculation of this difference,We further put forward a hypothetical hypothesis on youth depression cognitive mechanisms: adolescent patients with depression have allocated too much cognitive resources to negative stimulation during the processing process of information,and ignored other information input。This makes it difficult for patients to get rid of the attention of negative stimuli,This kind of getting rid of difficulties has further led to ineffective emotional management and continuous negative emotional experience。

As mentioned earlier,Studies around the diagnosis of depression are mostly starting from the patient's clinical manifestations,This type of examination depends on the patient's self -experience and self -report。For teenagers in the development period,The description of some heart and body experience and physical symptoms may be very inaccurate,As a result, doctors cannot fully understand the patient's situation and cause misdiagnosis。This study uses the classic paradigm of cognitive psychology,Explore the reaction change bet365 Play online games of young people in the time interval of 0-235ms。This measurement method avoids the defects of subjective reports,Certain bias features at the level of subconsciousness of adolescents; requirements for fast -paced consultation and treatment suitable for clinical outpatient clinics。From another angle,The attention to the depression of adolescents may also cause some teenagers to "pursue" depression,Young people may exaggerate their emotional experience,Subjectively considering that I have depression,Therefore, find a suitable reason for your failure or trouble。At this time,Use a program that does not involve subjective symptoms to detect teenagers' depression,Not losing a more appropriate method。

In dual target experiments,We found that the main component of the negative bias of depression teenagers is to pay attention to relieve difficulties。Recognize this cognitive mechanism,Not only can help clinicians perceive the diagnosis of young people's depression,Intervention and treatment of teenager depression also has certain actual value。Clinical intervention on adolescent depression can try to pay attention to relieve training。We can look forward to,On the basis of more clinical -based cognitive psychology experiments,The cognitive mechanism of teenager depression will become clearer; cognitive deviation characteristics can become a diagnostic standard for teenagers depression; cognitive training may also become the mainstream intervention strategy of young people depression。

  (The author is a professor at the School of Psychiatry, Wenzhou Medical University)

Editor in charge: Cui Bohan
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