Shah R, Waller G
Department of Psychology, University College London, University of London, United Kingdom.
J Nerv Ment Dis. 2000 Jan;188(1):19-25. doi: 10.1097/00005053-200001000-00004.
This study considers the potential role of core beliefs (unconditional schema-level representations) in the relationship between recalled parenting in childhood and major depression in adulthood, comparing a group of depressed outpatients (N = 60) with a healthy community sample (N = 67). The depressed group were differentiated by poorer perceived parenting (low care and high overprotection) and by three unhealthy core beliefs (defectiveness/shame, self-sacrifice, and insufficient self-control). Among nonclinical participants, it appears that vulnerability to harm beliefs act as a partial mediator of the relationship between poor paternal care and the development of depressive features. In contrast, a broader set of core beliefs appears to mediate the relationship of maternal bonding and paternal overprotection with depressive symptoms among the depressed group. The findings suggest that clinical work with adults with major depression might need to take account of parental style. Where parents are reported to be uncaring or overprotective, cognitive-behavioral therapy might need to include a schema-focused component.
本研究探讨了核心信念（无条件的图式水平表征）在童年回忆的养育方式与成年期重度抑郁症之间关系中的潜在作用，将一组抑郁症门诊患者（N = 60）与一个健康社区样本（N = 67）进行了比较。抑郁症组的特征是对养育方式的感知较差（关爱少且过度保护多）以及三种不健康的核心信念（缺陷/羞耻、自我牺牲和自我控制不足）。在非临床参与者中，易受伤害信念似乎在父亲关爱不足与抑郁特征发展之间的关系中起到部分中介作用。相比之下，更广泛的一组核心信念似乎在抑郁症组中调节了母婴联结和父亲过度保护与抑郁症状之间的关系。研究结果表明，对成年重度抑郁症患者的临床治疗可能需要考虑养育方式。如果报告称父母不关心或过度保护，认知行为疗法可能需要包括一个以图式为重点的组成部分。
