Marshall Margarita B, Zuroff David C, McBride Carolina, Bagby R Michael
McGill University, Canada.
J Clin Psychol. 2008 Mar;64(3):231-44. doi: 10.1002/jclp.20438.
The authors examined the relationship between self-criticism, dependency, and treatment outcome for 102 participants who met the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR; American Psychiatric Association, 2000) criteria for major depressive disorder. The participants were randomly assigned to receive either cognitive-behavioral therapy (CBT), interpersonal therapy (IPT), or pharmacotherapy with clinical management (PHT-CM) and completed the Depressive Experiences Questionnaire (Blatt, D'Affilitti, & Quinlan, 1976), a measure of self-criticism and dependency, as part of a broader research protocol. Regression analyses indicated that among individuals in IPT, self-criticism predicted poorer treatment outcome based on depressive symptom severity measured using the 17-item Hamilton Rating Scale for Depression (Hamilton, 1960, 1967). In addition, there were trends toward dependency predicting worse treatment response in CBT and self-criticism predicting better treatment response in PHT-CM.
作者对102名符合《精神疾病诊断与统计手册》第四版修订版(DSM-IV-TR;美国精神病学协会,2000年)重度抑郁症标准的参与者,研究了自我批评、依赖与治疗结果之间的关系。参与者被随机分配接受认知行为疗法(CBT)、人际疗法(IPT)或药物治疗结合临床管理(PHT-CM),并完成抑郁体验问卷(布拉特、达菲利蒂和昆兰,1976年),这是一种衡量自我批评和依赖程度的量表,作为一项更广泛研究方案的一部分。回归分析表明,在接受人际疗法的个体中,根据使用17项汉密尔顿抑郁评定量表(汉密尔顿,1960年,1967年)测量的抑郁症状严重程度,自我批评预示着治疗效果较差。此外,在认知行为疗法中,有依赖预示治疗反应较差的趋势,而在药物治疗结合临床管理中,自我批评预示治疗反应较好的趋势。