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对患有和未患有共病惊恐障碍及社交焦虑障碍的成年抑郁症患者养育方式的回顾性报告。

Retrospective reports of parenting in depressed adults with and without comorbid panic disorder and social anxiety disorder.

作者信息

Torpey Dana C, Olino Thomas M, Klein Daniel N

机构信息

Department of Psychology, Stony Brook University, Stony Brook, New York, USA.

出版信息

J Nerv Ment Dis. 2007 Sep;195(9):738-44. doi: 10.1097/NMD.0b013e318142cc16.

DOI:10.1097/NMD.0b013e318142cc16
PMID:17984773
Abstract

Previous research has examined the role of parenting in the development of depression and anxiety disorders using retrospective reports of parenting behaviors. However, most studies have not considered comorbidity; the few that have did not differentially examine individual anxiety disorders and yielded inconsistent results. The present study compared retrospective parenting reports given by depressed individuals with no comorbid anxiety disorder, comorbid panic disorder, and comorbid social anxiety disorder. Results indicated that depressed men with panic disorder reported significantly greater maternal and nonsignificantly greater paternal protectiveness than depressed men without panic disorder but not than depressed women with and without panic disorder. No differences were found for the retrospective parenting reports given by depressed participants with or without social anxiety disorder. This work highlights the importance of examining specific anxiety disorders rather than grouping all depressed patients with any anxiety disorder together, as well as examining males and females separately when investigating the influence of parental behavior.

摘要

以往的研究利用对养育行为的回顾性报告,探讨了养育方式在抑郁症和焦虑症发展中的作用。然而,大多数研究并未考虑共病情况;少数考虑了共病情况的研究也没有对个体焦虑症进行差异检验,结果并不一致。本研究比较了无共病焦虑症的抑郁症患者、共病惊恐障碍的抑郁症患者和共病社交焦虑症的抑郁症患者的养育方式回顾性报告。结果表明,患有惊恐障碍的抑郁症男性报告的母亲保护程度显著更高,父亲保护程度虽无显著差异但也更高,高于无惊恐障碍的抑郁症男性,但与患有和未患有惊恐障碍的抑郁症女性相比无差异。患有或未患有社交焦虑症的抑郁症参与者的养育方式回顾性报告未发现差异。这项研究强调了在研究父母行为的影响时,检查特定焦虑症而非将所有患有任何焦虑症的抑郁症患者归为一组的重要性,以及分别对男性和女性进行检查的重要性。

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Comorbid depression and anxiety: Integration of insights from attachment theory and cognitive neuroscience, and their implications for research and treatment.共病抑郁与焦虑:整合依恋理论与认知神经科学的见解及其对研究和治疗的启示
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