Department of Psychological Medicine, Monash Medical Centre, Clayton, Australia.
World Psychiatry. 2005 Jun;4(2):96-105.
Within the physically ill population, demoralization has been a valuable concept with which to consider dysphoric states. Moreover, it can be distinguished from other mood states. In this study we replicate previous research and show that demoralization can be distinguished from anhedonic depression and grief. All three correlate more or less equally with measures of depression (e.g., the Beck Depression Inventory), although they are differentiated on styles of coping, and social, family and physical functioning. These results confirm that distinguishing depression with demoralization from depression with anhedonia is both useful and scientifically valid. It sharpens the characterisation of dysphoric states and provides an empirical framework to enhance research into the aetiology and treatment of depression.
在身体疾病患者中，沮丧是一个有价值的概念，可以用来考虑不愉快的状态。此外，它可以与其他情绪状态区分开来。在这项研究中，我们复制了先前的研究结果，表明沮丧可以与快感缺失性抑郁和悲伤区分开来。这三种状态或多或少都与抑郁的测量方法（如贝克抑郁量表）相关，尽管它们在应对方式、社会、家庭和身体功能方面有所不同。这些结果证实，将沮丧与快感缺失性抑郁区分开来是有用的，并且在科学上也是合理的。它使不愉快状态的特征更加鲜明，并为研究抑郁的病因和治疗提供了一个实证框架。
