Schotte D E, Cools J, Payvar S
Department of Psychology, University of Health Sciences, Chicago Medical School.
J Consult Clin Psychol. 1990 Oct;58(5):562-4. doi: 10.1037//0022-006x.58.5.562.
A diathesis-stress model has been proposed (Schotte & Clum, 1982, 1987), in which deficits in interpersonal problem-solving skills are said to predispose individuals under chronic stress to depression, hopelessness, and suicide ideation. The present study examined the stability of interpersonal problem-solving skills in a short-term, longitudinal study of hospitalized suicide ideators (N = 36). The Ss displayed marked changes in depressive symptoms, state anxiety, hopelessness, and suicide intent over time, and these improvements were associated with improvements in interpersonal problem-solving skills. It is concluded that interpersonal problem-solving deficits may be a concomitant, rather than a cause, of depression, hopelessness, and suicide intent.
一种素质-应激模型已被提出（肖特和克拉姆，1982年，1987年），其中人际问题解决技能的缺陷据说会使处于慢性应激下的个体易患抑郁症、绝望感和自杀念头。本研究在一项对住院有自杀念头者（N = 36）的短期纵向研究中检验了人际问题解决技能的稳定性。随着时间推移，研究对象在抑郁症状、状态焦虑、绝望感和自杀意图方面表现出显著变化，并且这些改善与人际问题解决技能的改善相关。研究得出结论，人际问题解决缺陷可能是抑郁、绝望感和自杀意图的一个伴随因素，而非原因。
