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与抑郁症终生病史相关的父母养育方式与人格

Parental bonding and personality in relation to a lifetime history of depression.

作者信息

Sato T, Uehara T, Narita T, Sakado K, Fujii Y

机构信息

Department of Psychiatry, Fujita Health University School of Medicine, University of Gunma Faculty of Medicine, Toyoake City, Aichi, Japan.

出版信息

Psychiatry Clin Neurosci. 2000 Apr;54(2):121-30. doi: 10.1046/j.1440-1819.2000.00647.x.

Abstract

This study explores whether personality is mediating the effects of adverse parenting on having had a lifetime history of major depressive disorder and whether personality dimensions, related to the development of lifetime depression, are disposed by adverse parenting in cross-sectional data derived from an epidemiological sample of volunteer workers. Of 447 individuals who were asked to complete the Munich Personality Test (MPT), the Parental Bonding Instrument (PBI) and the Inventory to Diagnose Depression Lifetime version (IDDL), 322 subjects were included in the analyses (150 male and 172 female; and 38 were diagnosed as having had a history of depression). Comparisons in fit between logistic regression models revealed that a combination of frustration tolerance and rigidity among personality dimensions, as measured by the MPT, and maternal care among the PBI scales were most primary in predicting a lifetime history of depression. Maternal care was, however, not significantly predictive of dimensional scores on the personality dimensions. Neither frustration tolerance nor rigidity was predicted by any PBI scale. When entering the variables sequentially, maternal care and the personality variables were additive and independent risk factors in predicting a lifetime history of depression. The results of this preliminary study raised an objection to a hypothesis that adverse parenting experienced in childhood disposes one to a dysfunctional personality, which then predisposes one to the development of depression in adulthood.

摘要

本研究探讨人格是否在不良养育对重度抑郁症终生病史的影响中起中介作用,以及在来自志愿者工人流行病学样本的横断面数据中,与终生抑郁症发展相关的人格维度是否由不良养育所决定。在447名被要求完成慕尼黑人格测试(MPT)、父母教养方式问卷(PBI)和终生抑郁诊断量表(IDDL)的个体中,322名受试者被纳入分析(150名男性和172名女性;38人被诊断有抑郁症病史)。逻辑回归模型的拟合比较显示,通过MPT测量的人格维度中的挫折耐受力和僵化程度,以及PBI量表中的母亲关爱,在预测抑郁症终生病史方面最为重要。然而,母亲关爱对人格维度的量表得分没有显著预测作用。PBI的任何一个量表都不能预测挫折耐受力和僵化程度。当依次输入变量时,母亲关爱和人格变量在预测抑郁症终生病史方面是相加的独立危险因素。这项初步研究的结果对一个假设提出了异议,即童年时期经历的不良养育会使人具有功能失调的人格,进而使人在成年后易患抑郁症。

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