Amann G
Institute of Psychology, University of Salzburg, Austria.
Eur Arch Psychiatry Clin Neurosci. 1991;241(1):49-56. doi: 10.1007/BF02193755.
Many studies have indicated that depressed individuals show deficits in social network/social support. However, little attention has been paid to the extent to which the illness itself causes these deficits that, owing to the distortion of perception of depressed patients, might be experienced subjectively, but do not necessarily exist objectively. To examine this question, a prospective study was conducted with hospitalized depressed patients. In accordance with the assumption that the duration of illness has a special impact on social resources, the sample was divided into two groups: individuals with single episodes of depression (n = 25) and with recurrent depression (n = 25). At the beginning of hospitalization both groups showed massive deficits in social network/social support. Depressed individuals with single episodes showed fewer deficits, the more the depression improved. In contrast, such a covariation of severity of depression and the amount of experienced deficits was not found among the individuals with recurrent depression.
许多研究表明，抑郁症患者在社交网络/社会支持方面存在缺陷。然而，很少有人关注疾病本身在多大程度上导致了这些缺陷，由于抑郁症患者认知的扭曲，这些缺陷可能是主观感受到的，但不一定客观存在。为了研究这个问题，对住院抑郁症患者进行了一项前瞻性研究。根据疾病持续时间对社会资源有特殊影响这一假设，样本被分为两组：单次发作抑郁症患者（n = 25）和复发性抑郁症患者（n = 25）。住院初期，两组患者在社交网络/社会支持方面均存在严重缺陷。单次发作的抑郁症患者，抑郁症改善得越多，缺陷就越少。相比之下，在复发性抑郁症患者中未发现抑郁症严重程度与所经历缺陷数量之间的这种协变关系。
