Maddux Rachel E, Lundh Lars-Gunnar
Department of Psychology, Lund University, P.O. Box 213, 221 00 Lund, Sweden.
Depress Res Treat. 2012;2012:208435. doi: 10.1155/2012/208435. Epub 2012 Dec 12.
The present study assessed the rate of depressive personality (DP), as measured by the self-report instrument depressive personality disorder inventory (DPDI), among 159 clients entering psychotherapy at an outpatient university clinic. The presenting clinical profile was evaluated for those with and without DP, including levels of depressed mood, other psychological symptoms, and global severity of psychopathology. Clients were followed naturalistically over the course of therapy, up to 40 weeks, and reassessed on these variables again after treatment. Results indicated that 44 percent of the sample qualified for DP prior to treatment, and these individuals had a comparatively more severe and complex presenting disposition than those without DP. Mixed-model repeated-measures analysis of variance was used to examine between-groups changes on mood and global severity over time, with those with DP demonstrating larger reductions on both outcome variables, although still showing more symptoms after treatment, than those without DP. Only eleven percent of the sample continued to endorse DP following treatment. These findings suggest that in routine clinical situations, psychotherapy may benefit individuals with DP.
本研究使用自评工具抑郁性人格障碍量表（DPDI），对一所大学门诊诊所的159名接受心理治疗的来访者进行了抑郁性人格（DP）发生率评估。对有和没有DP的来访者的初始临床特征进行了评估，包括抑郁情绪水平、其他心理症状以及精神病理学的整体严重程度。在长达40周的治疗过程中，对来访者进行自然随访，并在治疗后再次对这些变量进行重新评估。结果表明，44%的样本在治疗前符合DP标准，与没有DP的个体相比，这些个体有相对更严重和复杂的初始症状。采用混合模型重复测量方差分析来检验随时间变化的组间情绪和整体严重程度的变化，有DP的个体在两个结果变量上的降幅更大，尽管治疗后仍表现出更多症状。治疗后，只有11%的样本仍符合DP标准。这些发现表明，在常规临床情况下，心理治疗可能对有DP的个体有益。
