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抑郁症成年患者对父母依恋的认知与症状严重程度:人格维度的中介作用

Perceptions of parental bonding and symptom severity in adults with depression: mediation by personality dimensions.

作者信息

Enns M W, Cox B J, Larsen D K

机构信息

Department of Psychiatry, University of Manitoba, Winnipeg.

出版信息

Can J Psychiatry. 2000 Apr;45(3):263-8. doi: 10.1177/070674370004500305.

DOI:10.1177/070674370004500305
PMID:10779883
Abstract

OBJECTIVE

An association between anomalous parental bonding experiences (lack of parental care, overprotection, or both) and depression during adulthood has been observed in several studies. The objective of the present study was to evaluate several different personality dimensions as possible mediators of the relationship between perceptions of parental bonding and depressive symptoms in adulthood.

METHODS

Outpatients with depression (n = 138) completed the Parental Bonding Instrument (PBI), the Beck Depression Inventory (BDI), and several measures of proposed personality vulnerabilities to depression. The conceptual and methodological criteria of Baron and Kenny (1986) were used to assess possible mediating effects of personality variables.

RESULTS

In men, overprotection by their fathers was significantly associated with depression; neuroticism, socially prescribed perfectionism, and concern over mistakes acted as mediators of this relationship. In women, lack of care by their mothers was significantly associated with depression; self-criticism, socially prescribed perfectionism, and concern over mistakes mediated this relationship.

CONCLUSIONS

The present study provides evidence that personality factors may mediate the observed relationship between parental rearing style and depression. These potential causal mechanisms warrant longitudinal evaluation.

摘要

目的

多项研究观察到异常的父母养育经历(缺乏父母关爱、过度保护或两者皆有)与成年期抑郁症之间存在关联。本研究的目的是评估几种不同的人格维度,作为成年期父母养育认知与抑郁症状之间关系的可能中介因素。

方法

抑郁症门诊患者(n = 138)完成了父母养育方式问卷(PBI)、贝克抑郁量表(BDI)以及几种针对抑郁症的拟议人格易感性测量。采用Baron和Kenny(1986)的概念和方法标准来评估人格变量的可能中介作用。

结果

在男性中,父亲的过度保护与抑郁症显著相关;神经质、社会规定性完美主义和对错误的担忧是这种关系的中介因素。在女性中,母亲缺乏关爱与抑郁症显著相关;自我批评、社会规定性完美主义和对错误的担忧介导了这种关系。

结论

本研究提供了证据表明人格因素可能介导了观察到的父母养育方式与抑郁症之间的关系。这些潜在的因果机制值得进行纵向评估。

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