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社会依赖与自主:单相抑郁症的不同临床表现模式

Sociotropy and autonomy: differential patterns of clinical presentation in unipolar depression.

作者信息

Robins C J, Luten A G

机构信息

Department of Psychiatry, Duke University Medical Center, Durham, North Carolina 27710.

出版信息

J Abnorm Psychol. 1991 Feb;100(1):74-7. doi: 10.1037//0021-843x.100.1.74.

DOI:10.1037//0021-843x.100.1.74
PMID:2005274
Abstract

We examined the relations between sociotropy and autonomy and clinical features of depression. Beck (1983) proposed that sociotropy is related to a sense of deprivation and clinical features associated with reactive depression and that autonomy is related to a sense of defeat and clinical features associated with endogenous depression. Robins, Block, & Peselow (1989) found support for the hypothesis for sociotropy but not for autonomy, and they suggested that the autonomy scale may be problematic. We administered new measures of sociotropy and autonomy and a more comprehensive assessment of clinical features to 50 unipolar depressed inpatients. The results support the selective relations of both sociotropy and autonomy to the predicted sets of clinical features. This study adds to the growing evidence that these personality dimensions are important to the understanding of depression.

摘要

我们研究了依赖型人格和自主型人格与抑郁症临床特征之间的关系。贝克(1983年)提出,依赖型人格与剥夺感以及反应性抑郁症相关的临床特征有关,而自主型人格与挫败感以及内源性抑郁症相关的临床特征有关。罗宾斯、布洛克和佩塞罗(1989年)发现有证据支持关于依赖型人格的假设,但不支持关于自主型人格的假设,他们认为自主型人格量表可能存在问题。我们对50名单相抑郁住院患者进行了依赖型人格和自主型人格的新测量,并对临床特征进行了更全面的评估。结果支持了依赖型人格和自主型人格与预测的临床特征集之间的选择性关系。这项研究进一步证明了这些人格维度对于理解抑郁症很重要。

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