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抑郁症患者的归因方式。

Attribution style of patients with depression.

作者信息

Leposavić Ivana, Leposavić Ljubica

机构信息

Institute of Psychiatry, Clinical Centre of Serbia, Belgrade, Serbia.

出版信息

Srp Arh Celok Lek. 2009 Sep-Oct;137(9-10):529-33. doi: 10.2298/sarh0910529l.

Abstract

INTRODUCTION

The role of attribution in psychopathology has been investigated most systematically within the depression context. The presumption which makes people depressive consists, to an excessive degree, of internal, stable and global attributions to negative occurrences. Negative attributions for unpleasant events are associated with the loss of self-respect which follows. OBJECTIVE Establishing the characteristics of attribution style of depressive patients.

METHODS

The investigation included 62 subjects. The first group consisted of 32 patients with endogenous depression in remission. The second group included 30 healthy subjects. The characteristics of attribution style, in both groups, were tested by the Attribution Style Questionnaire (ASQ).

RESULTS

The group of depressive patients, in comparison with healthy subjects, exhibited a significantly more marked internal attribution for negative events (t(60) = -3.700; p < 0.01) and global internal negative attributions (t(60)= -4.023; p < 0.01). There was no significant difference between the groups in the stability of these negative attributions (t(60)= -1.937; p > 0.05), and also the composite score which represents the measure of hopelessness did not make a significant difference between depressive and healthy subjects (t(60)= -1.810; p > 0.05).

CONCLUSION

Depressive patients exhibit an inclination towards internal and global attribution for negative events. These negative attributions do not have stable character, i.e. these attributions vary in time. Characteristics of attribution judgments of depressive people do not represent a permanent pattern within their cognitive style.

摘要

引言

归因在精神病理学中的作用在抑郁症背景下得到了最系统的研究。导致人们抑郁的推测在很大程度上由对负面事件的内在、稳定和整体归因组成。对不愉快事件的负面归因与随之而来的自尊丧失有关。目的:确定抑郁症患者归因风格的特征。

方法

该调查包括62名受试者。第一组由32名缓解期内源性抑郁症患者组成。第二组包括30名健康受试者。两组的归因风格特征均通过归因风格问卷(ASQ)进行测试。

结果

与健康受试者相比,抑郁症患者组对负面事件表现出明显更显著的内在归因(t(60)= -3.700;p < 0.01)和整体内在负面归因(t(60)= -4.023;p < 0.01)。两组在这些负面归因的稳定性方面没有显著差异(t(60)= -1.937;p > 0.05),并且代表绝望程度的综合得分在抑郁症患者和健康受试者之间也没有显著差异(t(60)= -1.810;p > 0.05)。

结论

抑郁症患者对负面事件表现出内在和整体归因的倾向。这些负面归因不具有稳定的特征,即这些归因随时间变化。抑郁症患者归因判断的特征在其认知风格中并不代表一种固定模式。

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