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情绪障碍中的认知风格:单相和双相认知特征的辨别能力。

Cognitive Styles in Mood Disorders: Discriminative Ability of Unipolar and Bipolar Cognitive Profiles.

作者信息

Shapero Benjamin G, Stange Jonathan P, Goldstein Kim E, Black Chelsea L, Molz Ashleigh R, Hamlat Elissa J, Black Shimrit K, Boccia Angelo S, Abramson Lyn Y, Alloy Lauren B

机构信息

Temple University.

University of Wisconsin-Madison.

出版信息

Int J Cogn Ther. 2015 Mar;8(1):35-60. doi: 10.1521/ijct.2015.8.1.35.

Abstract

Although previous research has identified cognitive styles that distinguish individuals with bipolar disorder (BD), individuals with major depressive disorder (MDD), and individuals without mood disorders from one another, findings have been inconsistent. The current study included 381 participants classified into a BD group, a MDD group, and a no mood disorder group. To differentiate between these groups, this study evaluated cognitive styles with a battery of traditional and more recently-developed measures. Receiver operating characteristics (ROC) analyses were used to determine the discriminate ability of variables with significant between group differences. Results supported that BD and MDD may be characterized by distinct cognitive styles. Given work showing that interventions for MDD may not be effective at treating BD, it is important to directly compare individuals with these disorders. By clarifying the overlapping and divergent cognitive styles characterizing BD and MDD, research can not only improve diagnostic validity, but also provide more efficacious and effective interventions.

摘要

尽管先前的研究已经确定了一些认知风格,这些认知风格能够区分双相情感障碍(BD)患者、重度抑郁症(MDD)患者以及无情绪障碍的个体,但研究结果并不一致。本研究纳入了381名参与者,分为双相情感障碍组、重度抑郁症组和无情绪障碍组。为了区分这些组,本研究使用一系列传统的和最近开发的测量方法来评估认知风格。采用受试者工作特征(ROC)分析来确定组间差异显著的变量的判别能力。结果支持双相情感障碍和重度抑郁症可能具有不同的认知风格。鉴于有研究表明针对重度抑郁症的干预措施可能对双相情感障碍无效,直接比较患有这些疾病的个体非常重要。通过阐明双相情感障碍和重度抑郁症的重叠和不同的认知风格,研究不仅可以提高诊断的有效性,还可以提供更有效和高效的干预措施。

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