Alnaes R, Torgersen S
Department of Psychiatry, University of Oslo, Norway.
Acta Psychiatr Scand. 1988 Nov;78(5):632-8. doi: 10.1111/j.1600-0447.1988.tb06397.x.
A consecutive sample of non-psychotic outpatients was divided into 4 groups: pure major depression, mixed major depression-anxiety disorder, pure anxiety disorder and a remaining group of other disorders. The patient reports of childhood losses, relation to parents, siblings and family climate, their own personality characteristics as children and precipitating events were compared in the various groups. On childhood experiences and precipitating events, it appears that the mixed group reported somewhat differently from the pure anxiety and the pure depression group, and very often differently from the group of other disorder. Patients with mixed major depression-anxiety disorder generally remembered their childhood as being more traumatic with a less satisfactory relationship to their parents. Prior to the onset of the disorder, they had more often experienced conflicts with partner, spouse or fiancé.
一组连续的非精神病门诊患者被分为4组:单纯重度抑郁症组、重度抑郁-焦虑障碍混合组、单纯焦虑障碍组以及其余的其他障碍组。对各组患者关于童年丧失、与父母、兄弟姐妹的关系及家庭氛围、童年时自身的性格特点以及促发事件的报告进行了比较。在童年经历和促发事件方面,混合组的报告似乎与单纯焦虑组和单纯抑郁组有所不同,且常常与其他障碍组差异很大。患有重度抑郁-焦虑障碍混合症的患者通常记得自己的童年更具创伤性,与父母的关系也不太令人满意。在疾病发作前,他们更常与伴侣、配偶或未婚夫发生冲突。