Bartholomew U, Klapp B F, Leyendecker B, Scheer J W
Abteilung für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Rudolf Virchow Charlottenburg.
Psychother Psychosom Med Psychol. 1991 Sep-Oct;41(9-10):354-61.
As part of a complex multimodal study of the biological, psychological and social situation of patients with acute viral hepatitis, the specific hypothesis that patients with this disease appear to be especially depressive is examined. Two instruments were used to assess variables of depression: the Giessen-Test, a standardized personality questionnaire (Beckmann, Brähler, Richter, 1983) and the idiographic role-repertorygrid (Kelly 1955). Seeing that self-esteem and basic affective state of the hepatitis patients as a whole differed significantly from that of patients with depression, it does not seem justifiable to speak of "the depressive" hepatitis patient. On the contrary, differential investigation discriminates three subgroups of patients with depressed, "normal" and hypomanic mood states. Since the measures of depression used here are quite stable and thus rather "trait" than "state" variables and further, some patients even appear to be hypomanic, the observed depression is not, as discussed in the literature, regarded to be "psychoreactive".
作为对急性病毒性肝炎患者的生物学、心理学和社会状况进行的一项复杂多模态研究的一部分，对“患有这种疾病的患者似乎特别抑郁”这一特定假设进行了检验。使用了两种工具来评估抑郁变量：吉森测试，一种标准化的人格问卷（贝克曼、布拉勒、里希特，1983年）和个人构念 repertory 网格（凯利，1955年）。鉴于肝炎患者作为一个整体的自尊和基本情感状态与抑郁症患者有显著差异，将肝炎患者称为“抑郁型”肝炎患者似乎并不合理。相反，差异调查区分出了情绪状态为抑郁、“正常”和轻躁狂的三个患者亚组。由于这里使用的抑郁测量相当稳定，因此更像是“特质”而非“状态”变量，而且，一些患者甚至似乎处于轻躁狂状态，所以如文献中所讨论的，观察到的抑郁并不被认为是“心理反应性的”。
