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内向性自责与准自杀:访谈反应的预测

Intropunitiveness and parasuicide: prediction of interview response.

作者信息

Goldberg J, Sakinofsky I

机构信息

Department of Psychology, Clarke Institute of Psychiatry, Toronto, Canada.

出版信息

Br J Psychiatry. 1988 Dec;153:801-4. doi: 10.1192/bjp.153.6.801.

Abstract

A recently proposed relationship between intropunitiveness and depressive states was examined in interview intervention with parasuicidal in-patients. To test the prediction that highly intropunitive parasuicidal individuals would be most responsive to cognitive intervention, a sample of 48 parasuicidal in-patients were administered a battery of individual difference measures, including the Hostility Questionnaire. Subjects were randomly assigned to one of three interview procedures, namely a cognitive interview, an affective interview or a waiting period (control). Highly intropunitive individuals in the cognitive interview group showed the most improvements on a self-report depressive symptom change measure. In addition to supporting theoretical models of depressive state changes, the study has important clinical implications because of the need to identify parasuicidal individuals who are most likely to benefit from brief interventions.

摘要

在对有自杀未遂行为的住院患者进行访谈干预时,研究了最近提出的内归因与抑郁状态之间的关系。为了检验高度内归因的有自杀未遂行为个体对认知干预反应最为明显这一预测,对48名有自杀未遂行为的住院患者样本进行了一系列个体差异测量,包括敌意问卷。受试者被随机分配到三种访谈程序之一,即认知访谈、情感访谈或等待期(对照组)。认知访谈组中高度内归因的个体在自我报告的抑郁症状变化测量中表现出最大的改善。该研究除了支持抑郁状态变化的理论模型外,还具有重要的临床意义,因为需要识别出最有可能从简短干预中受益的有自杀未遂行为个体。

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