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友谊二元组中抑郁和焦虑症状的趋同

CONVERGENCE OF DEPRESSION AND ANXIETY SYMPTOMS IN FRIENDSHIP DYADS.

作者信息

Gros Daniel F, Milanak Melissa E, Hershenberg Rachel

机构信息

Ralph H. Johnson VA Medical Center and Medical University of South Carolina.

出版信息

J Soc Clin Psychol. 2013 Dec 1;32(10):1061-1074. doi: 10.1521/jscp.2013.32.10.1061.

Abstract

Despite psychometric rationale to include multiple informants, psychological assessment typically involves data collected from the patient (target) only, particularly with regard to depressive and anxious symptomatology. This study addressed this gap in the literature by assessing convergence between targets and their close friends (informants) in an ethnically diverse sample of young adults. One hundred and thirty-nine friendship dyads completed a packet of questionnaires including different versions administered to the targets and informants, with targets completing the standard questionnaire battery focused on their own symptoms and informants completing questionnaires on their view of the target participants' symptoms, rather than their own characteristics. Measures were included to assess a wide range of symptomatology, including behavioral, cognitive, and physiological symptoms of anxiety and depression. The target-informant correlations were largely significant and of small-to-medium magnitude. In addition, target-informant agreement was higher in more visible symptoms (e.g., behavioral) than in less visible symptoms (e.g., physiological) of anxiety and depression. Interestingly, level of closeness in the relationship did not influence the magnitude of correlations. Implications for future research and integration into clinical assessment practices are discussed.

摘要

尽管从心理测量学原理上讲应纳入多个信息提供者,但心理评估通常仅涉及从患者(目标对象)那里收集的数据,尤其是在抑郁和焦虑症状方面。本研究通过在一个种族多样化的年轻成年人样本中评估目标对象与其亲密朋友(信息提供者)之间的一致性,填补了文献中的这一空白。139对朋友完成了一组问卷,其中包括分别发给目标对象和信息提供者的不同版本,目标对象填写侧重于自身症状的标准问卷,信息提供者填写关于他们对目标参与者症状看法的问卷,而非自身特征。所采用的测量方法旨在评估广泛的症状,包括焦虑和抑郁的行为、认知及生理症状。目标对象与信息提供者之间的相关性大多显著,且为中小程度。此外,在焦虑和抑郁的更明显症状(如行为症状)方面,目标对象与信息提供者的一致性高于不太明显的症状(如生理症状)。有趣的是,关系的亲密程度并未影响相关性的大小。文中还讨论了对未来研究以及将其纳入临床评估实践的启示。

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