Willemsen Jochem, Vanheule Stijn, Verhaeghe Paul
Department of Psychoanalysis and Clinical Consulting, Ghent University, Belgium.
Crim Behav Ment Health. 2011 Oct;21(4):279-94. doi: 10.1002/cbm.812. Epub 2011 Apr 5.
Previous studies have investigated an association between psychopathy and depression as part of the broader study of co-morbidity between psychopathy and Axis I psychopathology or as part of validity tests for psychopathy. These study methods have, however, been limited, for example, by exclusive use of questionnaires, or categorical measures of depression, and by low base rates of psychopathology.
Our aims were to extend previous research on psychopathy and depression and to test the hypothesis that total Psychopathy Checklist - Revised (PCL-R) scores, and the four facets of interpersonal, affective, lifestyle and anti-social behaviour, would be negatively associated with depressive symptom scores.
Dimensional measures of psychopathy and lifetime major depression were derived from structured interviews (the PCL-R and the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised) with adult male prisoners. The emotional experience of depression was also studied through analysis of the narratives used by the men to describe their depressive symptoms.
The PCL-R scores, and in particular the interpersonal, affective and lifestyle facets of the PCL-R, were inversely associated with depression scores.
Our findings suggest that psychopathy does influence the way depression is experienced.
先前的研究已将精神病态与抑郁症之间的关联作为精神病态与轴I精神病理学共病的更广泛研究的一部分，或作为精神病态效度测试的一部分进行了调查。然而，这些研究方法存在局限性，例如，仅使用问卷调查或抑郁症的分类测量方法，以及精神病理学的低基础率。
我们的目的是扩展先前关于精神病态与抑郁症的研究，并检验以下假设：修订版精神病态量表（PCL-R）的总分以及人际、情感、生活方式和反社会行为这四个方面与抑郁症状评分呈负相关。
通过对成年男性囚犯进行结构化访谈（PCL-R和《精神障碍诊断与统计手册》第三版修订版的结构化临床访谈）得出精神病态和终生重度抑郁症的维度测量值。还通过分析这些男性描述其抑郁症状时使用的叙述来研究抑郁症的情感体验。
PCL-R评分，尤其是PCL-R的人际、情感和生活方式方面，与抑郁评分呈负相关。
我们的研究结果表明，精神病态确实会影响抑郁症的体验方式。
