Department of Psychology, Florida State University, Tallahassee, Florida 32306, USA.
Annu Rev Clin Psychol. 2013;9:355-77. doi: 10.1146/annurev-clinpsy-050212-185553. Epub 2013 Jan 3.
Humans have an intrinsic need for social connection; thus, it is crucial to understand depression in an interpersonal context. Interpersonal theories of depression posit that depressed individuals tend to interact with others in a way that elicits rejection, which increases their risk for future depression. In this review, we summarize the interpersonal characteristics, risk factors, and consequences of depression in the context of the relevant theories that address the role of interpersonal processes in the onset, maintenance, and chronicity of depression. Topics reviewed include social skills, behavioral features, communication behaviors, interpersonal feedback seeking, and interpersonal styles as they relate to depression. Treatment implications are discussed in light of the current research on interpersonal processes in depression, and the following future directions are discussed: developing integrative models of depression, improving measurement of interpersonal constructs, examining the association between interpersonal processes in depression and suicide, and tailoring interventions to target interpersonal processes in depression.
人类有社交联系的内在需求;因此,从人际交往的角度理解抑郁症至关重要。抑郁症的人际理论假设,抑郁的个体往往以一种引发拒绝的方式与他人互动,从而增加他们未来患抑郁症的风险。在这篇综述中,我们总结了人际特征、风险因素和抑郁症的后果,以及相关理论中涉及人际交往过程在抑郁症的发生、维持和慢性化中的作用。综述的主题包括社交技能、行为特征、沟通行为、人际反馈寻求和人际风格与抑郁症的关系。根据目前关于抑郁症人际过程的研究,我们讨论了治疗的意义,并探讨了以下未来的方向:发展抑郁症的综合模型,改进人际结构的测量,研究抑郁症中人际过程与自杀的关系,以及针对抑郁症的人际过程定制干预措施。