School of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK.
Centre for Youth and Criminal Justice, University of Strathclyde, Glasgow, UK.
Compr Psychiatry. 2017 Apr;74:180-188. doi: 10.1016/j.comppsych.2016.12.009. Epub 2017 Jan 21.
Biases in beliefs about the self are associated with psychopathology and depressive and anxious mood, but it is not clear if both negative and positive beliefs are associated with depression or anxiety. We examined these relationships in people who present with a wide range of depressive and anxious mood across diagnostic categories.
We probed positive and negative beliefs about the self with a task in which 74 female participants with either affective disorder (depression and/or anxiety), borderline personality disorder or no psychiatric history indicated the degree to which 60 self-related words was "like them" or "not like them". Depressive and anxious mood were assessed with the Beck Depression Inventory-II and the Beck Anxiety Inventory.
The participants with no psychiatric history (n=25) reported a positive bias in their beliefs about the self, the participants with affective disorder (n=23) reported no bias, and the participants with BPD (n=26) reported a negative bias. Two hierarchical multiple regressions demonstrated that the positive and negative beliefs contributed additively to the ratings of depression (corrected for anxiety), but did not contribute to the ratings of anxiety (corrected for depression).
Despite the apparent small sample size, the regression analyses indicated adequate sampling. Anxiety is a much more heterogeneous condition than is depression, so it may be difficult to find relevant self-descriptors. Only measures of endorsement were used.
Biases in beliefs about the self are associated with depressed, but not anxious mood, across diagnostic categories.
对自我的信念偏见与精神病理学以及抑郁和焦虑情绪有关,但目前尚不清楚消极和积极的信念是否都与抑郁或焦虑有关。我们在具有广泛抑郁和焦虑情绪的人群中检查了这些关系,这些人群跨越了不同的诊断类别。
我们通过一项任务来探究对自我的积极和消极信念,该任务要求 74 名女性参与者(患有情感障碍(抑郁和/或焦虑)、边缘型人格障碍或无精神病史)表明 60 个与自我相关的词语中,有多少个“像他们”或“不像他们”。使用贝克抑郁量表二和贝克焦虑量表评估抑郁和焦虑情绪。
无精神病史的参与者(n=25)报告对自我的信念存在积极偏见,患有情感障碍的参与者(n=23)报告没有偏见,而患有 BPD 的参与者(n=26)报告存在消极偏见。两个层次的多元回归表明,积极和消极的信念对抑郁评分有附加贡献(焦虑校正),但对焦虑评分没有贡献(抑郁校正)。
尽管样本量明显较小,但回归分析表明抽样充足。与抑郁相比,焦虑是一种更为异质的疾病,因此可能难以找到相关的自我描述符。仅使用了肯定的测量方法。
在不同的诊断类别中,对自我的信念偏见与抑郁情绪有关,但与焦虑情绪无关。