In this systematic review, we examined the evidence for an adolescent emotion recognition–awareness vulnerability to depression. The current review provided a qualitative synthesis of the emotion recognition (26 studies) and emotion awareness (38 studies) literatures for adolescent depression and was grounded within the framework of affective social competence (Halberstadt et al. in Soc Dev 10:79–119, 2001). It was hypothesized that deficits or difficulties in recognizing emotions in others and in being aware of emotions within the self would increase vulnerability to depression for adolescents. There was limited evidence to support a general emotion recognition vulnerability due to heterogeneous research designs and inconsistencies across studies; however, three emerging trends in specific recognition deficits associated with adolescent depression were identified: sensitivity to sadness, under-perceiving happiness, and over-perceiving anger. In contrast, there was robust support for an emotion awareness vulnerability to depression from cross-sectional, longitudinal, and longitudinal onset studies. When recognition and awareness are considered together, this review indicated that deficits in emotion awareness may exacerbate difficulties with emotion recognition during stressful or emotionally evocative contexts. This review highlighted the need for future investigations into emotion recognition and emotion awareness deficits in relation to adolescent depression using methodological innovations and longitudinal, clinical designs.

中文翻译：

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青春期抑郁的情绪识别意识脆弱性假说：系统评价。

在这项系统评价中，我们检查了青少年情绪识别-抑郁症易感性的证据。本篇综述对青少年抑郁症的情绪识别（26项研究）和情绪意识（38项研究）文献进行了定性综合分析，并建立在情感社会能力框架内（Halberstadt等人，Soc Dev 10：79–119， 2001）。有假设认为，在认识他人的情绪以及意识到自己内在情绪方面的缺陷或困难会增加青少年的抑郁症易感性。由于研究设计的多样性和研究之间的不一致，目前仅有有限的证据支持普遍的情绪识别漏洞。然而，确定了与青少年抑郁症相关的三种特定识别缺陷的新兴趋势：对悲伤的敏感性，对幸福感的感知不足以及对愤怒的过度感知。相反，从横断面，纵向和纵向发作研究中，有强烈的证据支持情绪意识容易受抑郁困扰。当同时考虑识别和意识时，该评价表明情绪意识的缺陷可能会在压力或情感唤起的情境中加剧情绪识别的困难。这篇综述强调了未来需要通过方法创新和纵向临床设计来调查与青少年抑郁症相关的情绪识别和情绪意识缺陷。和过分的愤怒。相反，从横断面，纵向和纵向发作研究中，有强烈的证据支持情绪意识容易受抑郁困扰。当同时考虑识别和意识时，该评价表明情绪意识的缺陷可能会在压力或情感唤起的情境中加剧情绪识别的困难。这篇综述强调了未来需要通过方法创新和纵向临床设计来调查与青少年抑郁症相关的情绪识别和情绪意识缺陷。和过分的愤怒。相反，从横断面，纵向和纵向发作研究中，有强烈的证据支持情绪意识容易受抑郁困扰。当同时考虑识别和意识时，该评价表明情绪意识的缺陷可能会在压力或情感唤起的情境中加剧情绪识别的困难。这篇综述强调了未来需要通过方法创新和纵向临床设计来调查与青少年抑郁症相关的情绪识别和情绪意识缺陷。当同时考虑识别和意识时，该评价表明情绪意识的缺陷可能会在压力或情感唤起的情境中加剧情绪识别的困难。这篇综述强调了未来需要通过方法创新和纵向临床设计来调查与青少年抑郁症相关的情绪识别和情绪意识缺陷。当同时考虑识别和意识时，该评价表明情绪意识的缺陷可能会在压力或情感唤起的情境中加剧情绪识别的困难。这篇综述强调了未来需要通过方法创新和纵向临床设计来调查与青少年抑郁症相关的情绪识别和情绪意识缺陷。