Berney T P, Bhate S R, Kolvin I, Famuyiwa O O, Barrett M L, Fundudis T, Tyrer S P
Fleming Nuffield Unit, Newcastle upon Tyne.
Br J Psychiatry Suppl. 1991 Jul(11):28-35.
This paper examines the family background, premorbid personality traits and adverse life events preceding childhood depression. The non-depressed group proved more likely to have experienced pre-school bereavement and familial disturbance, and to come from the more deprived background; there was also an excess of premorbid anxiety and hysterical personality traits in this group. School phobia and premorbid obsessional traits were associated with the depressed group. Although there was an association between depression and the total number of adverse life events, this was more substantial when the perceived impact of the events was taken into account. Of the individual classes of life event, only illness and a change in social relationships were associated specifically with depression.
本文探讨了儿童期抑郁症之前的家庭背景、病前人格特质和不良生活事件。结果显示，非抑郁组更有可能经历过学前丧亲之痛和家庭困扰，且来自更贫困的背景；该组病前焦虑和癔症性人格特质也更为常见。学校恐惧症和病前强迫性特质与抑郁组相关。虽然抑郁症与不良生活事件的总数之间存在关联，但在考虑这些事件的感知影响时，这种关联更为显著。在各类生活事件中，只有疾病和社会关系的变化与抑郁症有特定关联。
