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差异导致抑郁症状的脆弱性:一项三波纵向研究。

Discrepancies confer vulnerability to depressive symptoms: a three-wave longitudinal study.

机构信息

Department of Psychology, Dalhousie University, Halifax, Nova Scotia, Canada.

出版信息

J Couns Psychol. 2013 Jan;60(1):112-26. doi: 10.1037/a0030439. Epub 2012 Oct 29.

Abstract

Discrepancies (i.e., a subjective sense of falling short of one's own standards) are a key part of the perfectionism construct. Theory suggests discrepancies confer vulnerability to depressive symptoms. Since most research in this area is cross-sectional, longitudinal research is needed to disentangle directionality of relationships and to permit stronger causal inferences. Determining whether discrepancies are an antecedent of depressive symptoms, a consequence of depressive symptoms, or both is critical to understanding the discrepancies-depressive symptoms relationship. Knowledge about the temporal stability of discrepancies is also only starting to emerge, and it is unclear whether discrepancies predict incremental variance in depressive symptoms above and beyond neuroticism (i.e., a dispositional tendency to experience negative emotional states). The present study tested relationships among discrepancies, neuroticism, and depressive symptoms in 127 1st-year undergraduates using a 3-wave longitudinal design. Results suggest discrepancies may be understood as a trait-state where people are both highly consistent in their rank order on discrepancies and fluctuate somewhat in the level of discrepancies they experience at a particular point in time. As hypothesized, discrepancies predicted increases in depressive symptoms, even after controlling for neuroticism. Contrary to hypotheses, depressive symptoms did not predict changes in discrepancies. This study extends a long tradition of theory noting the depressing consequences of believing that one has fallen short of one's own standards. Harsh self-criticism and unobtainable self-expectations involving a strong sense of imperfection may be part of the premorbid personality of people vulnerable to depressive symptoms.

摘要

差异(即主观上感觉达不到自己的标准)是完美主义结构的一个关键部分。理论表明,差异会使人容易出现抑郁症状。由于该领域的大多数研究都是横断面研究,因此需要进行纵向研究,以厘清关系的方向,并允许进行更强的因果推断。确定差异是抑郁症状的前因、后果,还是两者兼而有之,对于理解差异与抑郁症状之间的关系至关重要。关于差异的时间稳定性的知识也才刚刚开始出现,目前还不清楚差异是否会在神经质(即体验负面情绪状态的倾向)之外,对抑郁症状的增量方差产生预测作用。本研究使用 3 波纵向设计,在 127 名一年级本科生中测试了差异、神经质和抑郁症状之间的关系。结果表明,差异可以被理解为一种特质-状态,即人们在差异的等级排序上高度一致,而在特定时间点上他们所经历的差异水平则有所波动。正如假设的那样,即使在控制了神经质的情况下,差异也能预测抑郁症状的增加。与假设相反,抑郁症状并不能预测差异的变化。这项研究延续了一个长期以来的理论传统,即认为自己达不到自己的标准会带来压抑的后果。严厉的自我批评和无法实现的自我期望,涉及到强烈的不完美感,可能是易患抑郁症状的人在发病前人格的一部分。

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