Wiegand M, Matussek P
Psychiatrische Klinik Technischen Universität München.
Psychother Psychosom Med Psychol. 1991 Jun;41(6):199-205.
In 60 patients suffering from either neurotic or endogenous depression (according to ICD-9), the aetiological concepts regarding their illness were studied by means of content analysis of answers to an interview question. Most patients had multifactorial aetiological concepts. Psychosocial concepts were more frequent than biological ones; this bias, however, was less pronounced in endogenous depressives (and, within this group, in bipolar vs. unipolar patients) than in neurotic depressives. The latter stressed triggering events as causes of illness, whereas for endogenous depressives, dispositions were more important. A positive expectancy of being able to influence the illness correlated with an aetiological model which implied triggering as well as predisposing factors.
在60例患有神经症性抑郁或内源性抑郁(根据国际疾病分类第九版)的患者中,通过对一个访谈问题答案的内容分析,研究了他们对自身疾病的病因学概念。大多数患者具有多因素病因学概念。社会心理概念比生物学概念更常见;然而,这种偏差在内源性抑郁症患者中(以及在该组中,双相情感障碍患者与单相情感障碍患者相比)不如在神经症性抑郁症患者中明显。后者强调触发事件是疾病的原因,而对于内源性抑郁症患者,性格更为重要。能够影响疾病的积极期望与一种暗示触发因素和易感因素的病因学模型相关。