Saulsman Lisa M, Coall David A, Nathan Paula R
Centre for Clinical Interventions, Northbridge, WA 6003, Australia.
J Clin Psychol. 2006 Sep;62(9):1181-96. doi: 10.1002/jclp.20278.
The present study investigated the association of depressive personality traits to treatment outcome for depression. One hundred and nineteen patients with a primary diagnosis of major depression were divided into high- and low-depressive personality groups, and depression symptomatology was assessed pre- and postparticipation in a standardized group cognitive-behavioral intervention. Analyses revealed poorer pre-state and end-state functioning for the high-depressive personality group. However, rate of improvement pre- to posttreatment was comparable between the two groups. Subsequent multiple regression analyses revealed that when controlling for pretreatment depression severity, depressive personality was not a predictor of depression treatment outcome. Within the methodological parameters of the current study, depressive personality traits were not associated with a poorer response to cognitive-behavioral treatment for depression.
本研究调查了抑郁性人格特质与抑郁症治疗结果之间的关联。119名初步诊断为重度抑郁症的患者被分为高抑郁性人格组和低抑郁性人格组，并在参与标准化团体认知行为干预之前和之后对抑郁症状进行了评估。分析显示，高抑郁性人格组在治疗前和治疗后的功能状态较差。然而，两组治疗前至治疗后的改善率相当。随后的多元回归分析显示，在控制治疗前抑郁症严重程度时，抑郁性人格并不是抑郁症治疗结果的预测指标。在本研究的方法学参数范围内，抑郁性人格特质与抑郁症认知行为治疗的较差反应无关。
