Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands.
Clin Psychol Psychother. 2010 Sep-Oct;17(5):418-26. doi: 10.1002/cpp.662.
Little is known about depressed individuals' illness attributions and how these influence treatment assignment in clinical practice. The aim of the present study was to examine whether illness attribution across the domains of intraindividual, interpersonal and biological reasons was associated with treatment assignment in a naturalistic treatment setting.
Illness attribution was assessed with the Reasons for Depression Questionnaire in 221 depressed individuals. Participants were assigned to either cognitive-behavioural therapy (CBT), interpersonal therapy (IPT) or psychopharmacological treatment (PHT).
Depressed individuals who strongly attributed their illness to intraindividual factors were more likely to be assigned to CBT, and depressed individuals attributing their depression to biological reasons were more likely to receive in PHT. In contrast, interpersonal illness attribution was not associated with treatment assignment.
Illness attribution influences treatment assignment to CBT and PHT. However, factors other than illness attribution for depression affect a treatment choice of IPT.
关于抑郁个体的疾病归因及其如何影响临床实践中的治疗分配，目前知之甚少。本研究的目的是检验在自然治疗环境中，个体内部、人际和生物学原因领域的疾病归因是否与治疗分配有关。
采用抑郁原因问卷评估 221 名抑郁个体的疾病归因。参与者被分配到认知行为疗法（CBT）、人际治疗（IPT）或精神药物治疗（PHT）。
将疾病强烈归因于个体内部因素的抑郁个体更有可能被分配到 CBT，将抑郁归因于生物学原因的抑郁个体更有可能接受 PHT。相比之下，人际疾病归因与治疗分配无关。
疾病归因影响 CBT 和 PHT 的治疗分配。然而，除了抑郁的疾病归因外，其他因素也会影响 IPT 的治疗选择。
