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抑郁症的认知理论。对儿童和青少年情绪障碍调查的启示。

Cognitive theories of depression. Implications for the investigation of emotional disturbances in childhood and adolescence.

作者信息

Rulcovius G, Reinhard H G

机构信息

Department for Child and Adolescent Psychiatry, Heinrich Heine University, Düsseldorf.

出版信息

Acta Paedopsychiatr. 1990;53(1):62-70.

PMID:2173343
Abstract

In all important cognitive theories of depression negative patterns of thought or thought processes are seen as being involved in the development and/or signs and symptoms of depressions. Thus Beck (1967, 1976) proceeds on the assumption that individuals with a predisposition to depressive illnesses have, because of earlier experiences, arrived at negative attitudes which, in connection with stress factors, bring about, determine and/or strengthen negative thought processes and depressive signs and symptoms. According to Rehm (1977), depressive people are characterized by a specific, unfavourable self-control style, which, amongst others, goes along with an increased consideration of negative aspects within one's own behaviour and/or within one's self. The attributional models of depression of Abramson, Seligman and Tesdale (1978) and Miller and Norman (1979) that came into being with the further development of Seligman's model of learned helplessness, proceed from the existence of a "depressive attribution style" that is characterized by internal, stable and global attributions for negative events and external, variable and specific attributions for positive events. In the hopelessness theory of depression (a revision of the reformulated helplessness theory by Abramson, Seligman and Teasdale 1978) Abramson, Metalsky and Alloy (1989) assume a (hopelessness) sub-type of depression for which they see the experience of hopelessness (in the sense of their definition) as almost sufficient cause for a coming into being and an unfavourable attribution style simply as a susceptibility factor.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在所有重要的抑郁症认知理论中,消极的思维模式或思维过程被视为与抑郁症的发展及/或症状有关。因此,贝克(1967年、1976年)的研究基于这样一种假设,即易患抑郁症的个体由于早期经历,形成了消极态度,这些态度与压力因素相结合,会引发、决定和/或强化消极的思维过程以及抑郁症状。根据雷姆(1977年)的观点,抑郁的人具有一种特定的、不利的自我控制风格,其中包括对自身行为和/或自我中消极方面的更多关注。随着塞利格曼习得性无助模型的进一步发展而形成的阿布拉姆森、塞利格曼和泰斯戴尔(1978年)以及米勒和诺曼(1979年)的抑郁症归因模型,是基于一种“抑郁归因风格”的存在,这种风格的特点是对消极事件进行内部、稳定和全面的归因,对积极事件进行外部、可变和具体的归因。在抑郁症的绝望理论(阿布拉姆森、塞利格曼和泰斯戴尔1978年对重新表述的无助理论的修订)中,阿布拉姆森、梅塔尔斯基和阿洛伊(1989年)假设了一种(绝望)亚型的抑郁症,他们认为绝望的体验(按照他们的定义)几乎是其产生的充分原因,而不利的归因风格仅仅是一个易感因素。(摘要截选至250词)

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