Michielsen H J, Van Houdenhove B, Leirs I, Vandenbroeck A, Onghena P
Department of Psychology and Health, Tilburg University, Tilburg, The Netherlands.
Clin Rheumatol. 2006 Mar;25(2):183-8. doi: 10.1007/s10067-005-1154-1. Epub 2005 Jul 12.
The aims of the present study were to compare a single diagnosis (chronic fatigue syndrome, CFS) and a double diagnosis (CFS + fibromyalgia, CFS+FM) group regarding depression, attribution style and self-esteem as well as to examine whether attribution style is a mediator in the relationship between self-esteem and depression. Eighty-five patients (CFS: 47, CFS+FM: 38) completed questionnaires on attribution style, self-esteem and depression. The single and double diagnosis groups tended to differ slightly, but the differences were never statistically significant. In addition, only one condition was met of the four conditions mentioned by Baron and Kenny to establish that mediation exists between two variables. In conclusion, an external attribution style does not protect the CFS or CFS+FM patients with a low self-esteem from depression. The prevalence rate of depression was high in both patient samples, of which clinicians should be aware.
本研究的目的是比较单一诊断（慢性疲劳综合征，CFS）组和双重诊断（CFS+纤维肌痛，CFS+FM）组在抑郁、归因方式和自尊方面的差异，并检验归因方式是否在自尊与抑郁的关系中起中介作用。85名患者（CFS组47人，CFS+FM组38人）完成了关于归因方式、自尊和抑郁的问卷调查。单一诊断组和双重诊断组之间的差异较小，但均无统计学意义。此外，在Baron和Kenny提出的用于确定两个变量之间存在中介作用的四个条件中，仅满足了一个条件。总之，外部归因方式并不能保护自尊水平较低的CFS或CFS+FM患者免于抑郁。两组患者样本中的抑郁患病率均较高，临床医生应予以关注。
