Shahar Golan, Davidson Larry
Department of Psychiatry, Yale University School of Medicine, USA.
J Consult Clin Psychol. 2003 Oct;71(5):890-900. doi: 10.1037/0022-006X.71.5.890.
Vulnerability, scar, and reciprocal-relations models of depressive symptoms and self-esteem were compared among people with severe mental illness (SMI; N=260) participating in a partnership-based intervention study. Assessments were conducted at baseline, midway through the intervention (after 4 months), and at termination (after 9 months). Cross-lagged, structural equation modeling analyses revealed that participants' baseline depressive symptoms predicted a decrease in self-esteem in the first 4 months but not in the subsequent 5 months of participation. Exploratory regression analyses indicated that improved social functioning buffered this deleterious effect of depressive symptoms. These findings, which are consistent with the scar model, highlight the fragile nature of the self and the importance of social functioning in recovery from SMI.
在参与一项基于伙伴关系的干预研究的严重精神疾病（SMI；N = 260）患者中，对抑郁症状和自尊的脆弱性、疤痕和相互关系模型进行了比较。在基线、干预中期（4个月后）和结束时（9个月后）进行评估。交叉滞后结构方程模型分析表明，参与者的基线抑郁症状预测在参与的前4个月自尊会下降，但在随后的5个月不会。探索性回归分析表明，改善的社会功能缓冲了抑郁症状的这种有害影响。这些与疤痕模型一致的发现，突出了自我的脆弱本质以及社会功能在从严重精神疾病康复中的重要性。
