Seattle Pacific University, WA, USA.
Con Mi Madre, TX, USA.
J Clin Psychol. 2018 Apr;74(4):608-625. doi: 10.1002/jclp.22524. Epub 2017 Sep 12.
Interpersonal models of depression and anxiety have not examined the role of interpersonal goals in shaping relationships and symptoms. Striving to promote/protect desired self-images (self-image goals) may undermine relationships and increase symptoms, whereas striving to support others (compassionate goals) may be protective, but clinical relevance is unknown.
We tested effects of compassionate versus self-image goals on interpersonal functioning and symptoms in clinically depressed and/or anxious participants (N = 47) during 10 days of experience sampling, over a 6-week follow-up, and in a dyadic relationship.
Participants reported higher conflict and symptoms on days that they most pursued self-image goals, but noted higher perceived support and lower symptoms when pursuing compassionate goals. Goals prospectively predicted symptom changes 6 weeks later. Lastly, informant-rated interpersonal goals predicted relationship satisfaction of both patients and significant others.
Results suggest the relevance of self-image and compassionate goals for the interpersonal maintenance of depression and anxiety.
抑郁和焦虑的人际模型尚未研究人际目标在塑造关系和症状中的作用。努力促进/保护理想的自我形象（自我形象目标）可能会破坏关系并增加症状，而努力支持他人（同情目标）可能具有保护作用，但临床相关性尚不清楚。
在经历了 10 天的体验抽样、6 周的随访以及在一个双人关系中，我们测试了同情与自我形象目标对临床抑郁和/或焦虑参与者（N=47）的人际功能和症状的影响。
参与者报告说，在他们最追求自我形象目标的日子里，他们的冲突和症状更高，但在追求同情目标时，他们感觉到更高的支持和更低的症状。目标前瞻性地预测了 6 周后症状的变化。最后，知情者评定的人际目标预测了患者和重要他人的关系满意度。
结果表明自我形象和同情目标对于抑郁和焦虑的人际维持具有相关性。
