Weinstock Lauren M, Whisman Mark A
Department of Psychology, University of Colorado, Boulder, CO 80309-0345, USA.
J Abnorm Psychol. 2006 Feb;115(1):68-74. doi: 10.1037/0021-843X.115.1.68.
The revised integrative hierarchical model of depression and anxiety (S. Mineka, D. Watson, & L. A. Clark, 1998) proposes that high levels of neuroticism are shared between the depressive and anxiety disorders. This perspective was evaluated with data from the National Comorbidity Survey (N = 5,847), a population-based community sample. Analyses were based on both a broadband (i.e., diagnostic class) and a narrowband (i.e., specific disorder) approach. Results supported the model insofar as high neuroticism was shared across the depressive and anxiety disorders and was particularly elevated in people with comorbid depression and anxiety. Results are discussed in terms of their implications for understanding the association between personality and the depressive and anxiety disorders in a community sample and for the revised integrative hierarchical perspective.
抑郁症和焦虑症的修订综合层次模型(S. 米内卡、D. 沃森和L. A. 克拉克,1998年)提出,抑郁障碍和焦虑障碍之间存在高水平的神经质。本研究采用基于全国共病调查(N = 5847)的数据对这一观点进行了评估,该调查是一个基于人群的社区样本。分析基于宽带(即诊断类别)和窄带(即特定障碍)两种方法。结果支持了该模型,因为高水平的神经质在抑郁障碍和焦虑障碍中是共同存在的,并且在患有共病性抑郁和焦虑的人群中尤为突出。本文将根据这些结果对理解社区样本中人格与抑郁障碍和焦虑障碍之间的关联以及对修订后的综合层次观点的意义进行讨论。