Department of Psychiatry and Psychotherapy, Lübeck University, Lübeck, Germany.
Department of Anaesthesiology and Intensive Care Medicine, Lübeck University, Lübeck, Germany.
Psychother Res. 2020 Feb;30(2):267-278. doi: 10.1080/10503307.2018.1532125. Epub 2018 Oct 11.
Childhood maltreatment, interpersonal fear and a specific kind of interpersonal skills deficit (preoperational thinking) have all been associated with persistent depressive disorder (PDD). We hypothesize that interpersonal fears mediate the association between childhood maltreatment and preoperational thinking. A total of 108 matched participants have been examined cross-sectionally (31 healthy controls, 30 patients with episodic depression and 47 patients with PDD) with the following instruments: the Childhood Trauma Questionnaire (CTQ-SF), a measure of interpersonal fear (CBASP Interpersonal Questionnaire) and the Lübeck Questionnaire of Preoperational Thinking. Patients with PDD reported significantly more childhood maltreatment than patients with episodic depression ( = 0.65) and healthy controls ( = 1.29). They also had more interpersonal fears ( = 0.71 and = 2.11 respectively) and higher levels of preoperational thinking ( = 0.90 and = 2.78 respectively). The association between childhood maltreatment and preoperational thinking was mediated through interpersonal fears. Our findings might have important implications for psychotherapy of PDD because they demonstrate how specific problems in social interactions can be associated with interpersonal fears that arise secondary to childhood maltreatment.
儿童虐待、人际恐惧以及特定类型的人际技能缺陷（前运算思维）都与持续性抑郁障碍（PDD）有关。我们假设人际恐惧在儿童虐待与前运算思维之间的关联中起中介作用。共有 108 名匹配的参与者接受了横断面检查（31 名健康对照者、30 名发作性抑郁症患者和 47 名 PDD 患者），使用的工具包括：儿童创伤问卷（CTQ-SF）、人际恐惧量表（CBASP 人际问卷）和吕贝克前运算思维问卷。PDD 患者报告的儿童期虐待经历明显多于发作性抑郁症患者（ = 0.65）和健康对照组（ = 1.29）。他们的人际恐惧程度也更高（ = 0.71 和 = 2.11），前运算思维水平也更高（ = 0.90 和 = 2.78）。儿童虐待与前运算思维之间的关联通过人际恐惧起中介作用。我们的发现可能对 PDD 的心理治疗具有重要意义，因为它们表明社交互动中的具体问题如何与儿童虐待引起的人际恐惧相关联。
