Jane Addams College of Social Work, University of Illinois at Chicago, 1040 W. Harrison St., m/c 309, Chicago, IL 60607, USA.
Psychiatr Serv. 2010 Jul;61(7):718-21. doi: 10.1176/ps.2010.61.7.718.
This study examined work functioning across three treatments for depression in relation to social class.
The study was based on data available from the National Institute of Mental Health Treatment of Depression Collaborative Research Program (1982 to 1986). Participants included 239 patients with major depressive disorder. Primary measures included the work functioning domain on the Social Adjustment Scale, the Hollingshead Two-Factor Index of Social Position, and family income. Analyses used hierarchical linear modeling to test the association of social class with work functioning over the course of treatment.
Social class was positively associated with improvement in work functioning across all three treatments for depression.
These findings suggest that there may be limitations in the use of empirically supported treatments with depressed patients from a lower social class, because their improvement rates in work functioning were less than those of middle-class persons with depression, even though they were treated with the same modalities.
本研究考察了三种抑郁症治疗方法与社会阶层的关系。
该研究基于国家心理健康研究所抑郁症治疗合作研究计划（1982 年至 1986 年）的数据。参与者包括 239 名患有重度抑郁症的患者。主要测量指标包括社会适应量表中的工作功能领域、霍林斯黑德社会地位两因素指数和家庭收入。分析采用分层线性模型检验社会阶层与治疗过程中工作功能的关系。
社会阶层与三种抑郁症治疗方法的工作功能改善均呈正相关。
这些发现表明，对于社会阶层较低的抑郁症患者，使用经过实证支持的治疗方法可能存在局限性，因为他们的工作功能改善率低于中产阶级抑郁症患者，尽管他们接受了相同的治疗方式。
