University of Konstanz, Department of Psychological Assessment and Health Psychology, P.O. Box 47, D-78457 Konstanz, Germany.
J Affect Disord. 2010 Sep;125(1-3):213-20. doi: 10.1016/j.jad.2010.01.075. Epub 2010 Feb 26.
Interactions between depressed persons and persons within their social network are often characterized by misunderstanding and unsuccessful social support attempts. These interpersonal problems could be fostered by discrepancies between depressed and never-depressed persons' illness representations of depression and/or discrepancies in the perceived helpfulness of supportive behaviors.
Illness representations of depression (IPQ-R) and perceptions of the helpfulness of different social support behaviors (ISU-DYA and ISAD) were assessed in 41 currently depressed persons and 58 persons without a history of depression.
Never-depressed persons perceived depression as more controllable by treatment and as less emotionally impairing than depressed persons, but also as having more severe consequences. Never-depressed persons considered activation-oriented support (motivation to approach problems) as more helpful and protection-oriented support (allowance to draw back) as less helpful in comparison to depressed persons.
Data were collected in unrelated samples of depressed and never-depressed persons.
Discrepancies in illness representations and perceptions of the helpfulness of social support do exist and may be the origin of problematic social interactions between depressed patients and persons within their social network. Therapeutic interventions should address the issue of conflicting perceptions and encourage depressed patients to acknowledge and discuss this topic within their social network.
抑郁患者及其社交网络中的人之间的互动常常以误解和不成功的社会支持尝试为特征。这些人际问题可能是由抑郁患者和从未抑郁患者的疾病观念中对抑郁的差异以及对支持性行为的感知有用性的差异所助长的。
在 41 名当前抑郁患者和 58 名无抑郁病史的患者中评估了抑郁的疾病观念（IPQ-R）和对不同社会支持行为的感知有用性（ISU-DYA 和 ISAD）。
从未抑郁的人认为抑郁通过治疗更可控，情绪障碍更小，但也认为后果更严重。与抑郁患者相比，从未抑郁的人认为激活导向的支持（解决问题的动力）更有帮助，而保护导向的支持（允许退缩）则不太有帮助。
数据是在抑郁和从未抑郁的无关样本中收集的。
在疾病观念和对社会支持的感知有用性方面确实存在差异，这可能是抑郁患者与其社交网络中的人之间出现问题性社交互动的根源。治疗干预应解决观念冲突的问题，并鼓励抑郁患者在其社交网络中承认并讨论这一问题。
