Magalhães Lemos Hospital in Oporto, Portugal.
Psychiatry. 2013 Spring;76(1):53-67. doi: 10.1521/psyc.2013.76.1.53.
The social rank and arrested defenses model for mood disorders bridges between animal and human models of psychopathology. There is increasing evidence that depression is associated with subordinated and loss of social rank, feeling inferior, shame, submissive behavior, and feeling defeated. These stressful states activate threat coping responses of fight and flight. If these are aroused but blocked, feelings of entrapment emerge with a negative impact on mood. The current study builds on previous studies and explores the association between depressive symptoms, social rank variables (of social comparison and submissive behavior), entrapment, and defeat in a sample of patients (n = 106) with major depression and in a sample of healthy controls (n = 116). Results showed that social rank variables, entrapment, and defeat were strongly associated with depressive symptoms in both samples. Entrapment and defeat showed significant association with other social rank variables. Logistic regression analysis revealed that defeat and internal entrapment were significant predictors of the belonging to the clinical or control groups. The present study extends previous research and supports the importance of defeat and external entrapment in clinical depression.
心境障碍的社会等级和防御抑制模型在动物和人类精神病理学模型之间架起了桥梁。越来越多的证据表明,抑郁与从属地位和社会等级丧失、自卑、羞耻、顺从行为和挫败感有关。这些压力状态会激活战斗或逃跑的威胁应对反应。如果这些反应被唤起但被阻断,就会出现被困住的感觉,对情绪产生负面影响。本研究在前人的研究基础上,探讨了抑郁症状、社会等级变量(社会比较和顺从行为)、被困和挫败感在一组重性抑郁患者(n=106)和一组健康对照组(n=116)中的相关性。结果表明,在两个样本中,社会等级变量、被困和挫败感与抑郁症状密切相关。被困和挫败感与其他社会等级变量有显著关联。逻辑回归分析显示,挫败感和内在被困是属于临床或对照组的显著预测因素。本研究扩展了先前的研究,支持了在临床抑郁症中,挫败感和外在被困感的重要性。