학술논문

Interpersonal life stress, inflammation, and depression in adolescence: Testing Social Signal Transduction Theory of Depression
Document Type
article
Source
Depression and Anxiety. 37(2)
Subject
Clinical and Health Psychology
Psychology
Pediatric
Mental Health
Clinical Research
Brain Disorders
Behavioral and Social Science
Prevention
Mind and Body
Depression
Serious Mental Illness
2.3 Psychological
social and economic factors
Aetiology
Mental health
Inflammatory and immune system
Good Health and Well Being
Adolescent
Child
Female
Humans
Inflammation
Interleukin-1beta
Interpersonal Relations
Interviews as Topic
Male
Models
Psychological
Psychopathology
Saliva
Stress
Psychological
Tumor Necrosis Factor-alpha
cytokines
development
disease
inflammation
major depressive disorder
risk
social stress
vulnerability
Clinical Sciences
Psychiatry
Clinical sciences
Clinical and health psychology
Social and personality psychology
Language
Abstract
BackgroundDepression rates increase markedly for girls across the adolescent transition, but the social-environmental and biological processes underlying this phenomenon remain unclear. To address this issue, we tested a key hypothesis from Social Signal Transduction Theory of Depression, which posits that individuals who mount stronger inflammatory responses to social stress should exhibit greater increases in depressive symptoms following interpersonal life stress exposure than those who mount weaker inflammatory responses to such stress.MethodParticipants were 116 adolescent girls (Mage  = 14.71) at risk for psychopathology, defined as having a history of mental health concerns (e.g., psychiatric treatment, significant symptoms) over the past 2 years. At baseline, we characterized their inflammatory reactivity to social stress by quantifying their salivary proinflammatory cytokine responses to a laboratory-based social stressor. Then, 9 months later, we assessed the interpersonal and noninterpersonal stressful life events that they experienced over the prior 9 months using an interview-based measure of life stress.ResultsAs hypothesized, greater interpersonal life stress exposure was associated with significant increases in depression over time, but only for girls exhibiting stronger salivary tumor necrosis factor-α and interleukin-1β reactivity to social stress. In contrast, noninterpersonal stress exposure was unrelated to changes in depression longitudinally, both alone and when combined with youths' cytokine reactivity scores.DiscussionThese results are consistent with Social Signal Transduction Theory of Depression and suggest that heightened inflammatory reactivity to social stress may increase adolescents' risk for depression. Consequently, it may be possible to reduce depression risk by modifying inflammatory responses to social stress.