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抑郁型人格障碍、恶劣心境及其与完美主义的关系。

Depressive personality disorder, dysthymia, and their relationship to perfectionism.

作者信息

Huprich Steven K, Porcerelli John, Keaschuk Rachel, Binienda Juliann, Engle Benjamin

机构信息

Department of Psychology, Eastern Michigan University, Ypsilanti, Michigan 48197, USA.

出版信息

Depress Anxiety. 2008;25(3):207-17. doi: 10.1002/da.20290.

Abstract

This paper reports the results of two studies in a nonclinical (n=105) and primary care outpatient sample (n=110), in which Depressive Personality Disorder (DPD), Dysthymia, and depression were assessed for their distinctive relationship with perfectionism. Results from both studies found that self-reported DPD, Dysthymia, and depressive symptoms were all intercorrelated, and that DPD, Dysthymia, and depressive symptoms were correlated with three dimensions of perfectionism-Concern over Mistakes, Doubts about Actions, and Parental Criticism. In the nonclinical sample, variance in measures of DPD was predicted by measures of perfectionism after controlling for depression and Dysthymia symptoms. A similar pattern of findings was observed in the primary care sample. This relationship with perfectionism did not occur when Dysthymia or depressive symptoms were predicted. Nevertheless, much of the variance in measures of DPD, Dysthymia, and depressive symptoms is associated with each other and not perfectionism. It is concluded that a common factor or set of factors underlies these disorders, but that DPD may be more strongly related to perfectionism than Dysthymia and depression. As a common factor(s) is identified, measures of DPD and Dysthymia may be refined, thereby increasing the discriminant validity of their measures.

摘要

本文报告了两项研究的结果,一项针对非临床样本(n = 105),另一项针对初级保健门诊样本(n = 110),在这些样本中评估了抑郁性人格障碍(DPD)、恶劣心境和抑郁症与完美主义之间的独特关系。两项研究的结果均发现,自我报告的DPD、恶劣心境和抑郁症状均相互关联,且DPD、恶劣心境和抑郁症状与完美主义的三个维度——对错误的担忧、对行为的怀疑和来自父母的批评——相关。在非临床样本中,在控制了抑郁和恶劣心境症状后,完美主义的测量指标能够预测DPD测量指标的方差。在初级保健样本中也观察到了类似的研究结果模式。在预测恶劣心境或抑郁症状时,与完美主义的这种关系并未出现。然而,DPD、恶劣心境和抑郁症状测量指标的大部分方差彼此相关,而非与完美主义相关。研究得出结论,这些障碍有一个共同因素或一组共同因素作为基础,但DPD可能比恶劣心境和抑郁症与完美主义的关系更紧密。随着一个共同因素被确定,DPD和恶劣心境的测量指标可能会得到完善,从而提高其测量的区分效度。

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