Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA 52242-1000, USA.
J Psychosom Res. 2013 Aug;75(2):187-9. doi: 10.1016/j.jpsychores.2013.06.001. Epub 2013 Jun 28.
The relationship between depression and physical disability in multiple sclerosis (MS) is unclear. This investigation examines the interaction between disability and perfectionism in predicting depression in MS.
Participants (n=51) completed the frost multidimensional perfectionism scale (FMPS), the Chicago multiscale depression inventory (CMDI), and the Expanded Disability Status Scale (EDSS).
Regression revealed that the FMPS×EDSS interaction predicted depression above the variance predicted by each variable alone. Perfectionism predicted depression at high levels of disability.
Our results suggest a means of reconciling inconsistent findings regarding physical disability and depression in MS and offer a potential target for psychotherapy.
多发性硬化症（MS）患者中抑郁和身体残疾之间的关系尚不清楚。本研究探讨了残疾与完美主义之间的相互作用，以预测 MS 患者的抑郁情况。
参与者（n=51）完成了弗罗斯特多维完美主义量表（FMPS）、芝加哥多尺度抑郁量表（CMDI）和扩展残疾状况量表（EDSS）。
回归分析显示，FMPS×EDSS 交互作用预测抑郁的方差高于每个变量单独预测的方差。完美主义在残疾程度较高时预测抑郁。
我们的结果提供了一种调和关于 MS 患者身体残疾和抑郁之间不一致发现的方法，并为心理治疗提供了一个潜在的目标。
