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回避与抑郁:认知行为回避量表的构建

Avoidance and depression: the construction of the cognitive-behavioral avoidance scale.

作者信息

Ottenbreit Nicole D, Dobson Keith S

机构信息

Department of Psychology, University of Calgary, 2500 University Drive NW, Calgary, Alberta, Canada T2N 1N4.

出版信息

Behav Res Ther. 2004 Mar;42(3):293-313. doi: 10.1016/S0005-7967(03)00140-2.

Abstract

Previous research has demonstrated a relationship between avoidance and depression, although the nature of this relationship has been confused by inconsistent definitions of avoidance. Following a review of the construct of avoidance and an examination of past research, a new multidimensional measure of avoidance was developed and validated using an undergraduate student sample (245 females and 146 males). Four reliable factors reflecting combinations of cognitive/behavioral and social/nonsocial dimensions of avoidance were obtained from the factor analysis of the new scale, entitled the "Cognitive-Behavioral Avoidance Scale" (CBAS). The scale showed the predicted relationships with convergent and divergent measures used for construct validation. As predicted, subscales of the CBAS, as well as the overall scale score, were significantly related to the depression and anxiety criterion measures. The findings from this study suggest that avoidance may be an important construct in the psychosocial conceptualization of depression. In addition, this integrated measure of avoidance has potential utility for depression researchers. Suggestions for further scale development and research are provided.

摘要

以往的研究已经证明了回避与抑郁之间的关系,尽管这种关系的本质因回避的定义不一致而变得模糊不清。在对回避的概念进行回顾并审视以往研究之后,开发了一种新的多维回避测量方法,并使用本科生样本(245名女性和146名男性)进行了验证。从名为“认知行为回避量表”(CBAS)的新量表的因子分析中获得了四个可靠的因子,这些因子反映了回避的认知/行为和社会/非社会维度的组合。该量表显示了与用于结构验证的收敛和发散测量的预测关系。正如预测的那样,CBAS的子量表以及总体量表得分与抑郁和焦虑标准测量显著相关。这项研究的结果表明,回避可能是抑郁心理社会概念化中的一个重要概念。此外,这种综合的回避测量方法对抑郁研究人员具有潜在的实用价值。还提供了进一步量表开发和研究的建议。

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