Segrin C
Department of Communication, University of Arizona, Tucson 85721, USA.
Clin Psychol Rev. 2000 Apr;20(3):379-403. doi: 10.1016/s0272-7358(98)00104-4.
This article reviews the empirical evidence of impaired social skills associated with depression. Conceptualizations of social skills are examined followed by evidence from self-report, observer-rating, and behavioral assessments of depressed people's social skills. Evidence of social skills deficits in children with depression and in people with bipolar disorder is also examined. The effectiveness of social skills training as a treatment of depression is evaluated. Three different theoretical relationships between disrupted social skills and depression are described and evaluated, including poor social skills as a cause of depression, depression as a cause of poor social skills, and poor social skills as a vulnerability factor in the development of depression. Currently, there is some evidence to support each of these conceptualizations, as the relationship between poor social skills and depression can take a variety of forms.
本文回顾了与抑郁症相关的社交技能受损的实证证据。首先考察了社交技能的概念化，接着是来自抑郁症患者社交技能的自我报告、观察者评分和行为评估的证据。还考察了抑郁症儿童和双相情感障碍患者社交技能缺陷的证据。评估了社交技能训练作为抑郁症治疗方法的有效性。描述并评估了社交技能障碍与抑郁症之间三种不同的理论关系，包括社交技能差是抑郁症的原因、抑郁症是社交技能差的原因，以及社交技能差是抑郁症发展中的一个易患因素。目前，有一些证据支持这些概念化中的每一种，因为社交技能差与抑郁症之间的关系可能有多种形式。
