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[因果关系与抑郁的表现。抑郁症患者辞职模型的析因方法]

[Representations of causality and depression. A factorial approach to the resignation model in the depressed patient].

作者信息

Comiskey F, de Bonis M

机构信息

UFR Kremlin-Bicêtre, Université Paris XI, CNRS.

出版信息

Encephale. 1988 Mar-Apr;14(2):53-8.

PMID:3391129
Abstract

The present study investigates causal attributions for stressful life events within the context of Beck's cognitive theory of affective disorders and Seligman's learned helplessness model of depression. The aim was to assess the validity of the depressive attributional style proposed by Seligman, with a clinically depressed population for negative life events. This study presents a factor analysis of the causal attributions of depressed psychiatric in patients measured in relation to one negative life event per subject. The experimental procedure consisted in asking 71 ward depressed patients (51 females and 20 males) to answer 15 items along a seven point scale in order to assess the causes, consequences and control attributed. Statistical treatment using both multidimensional analyses (to describe the dimensions of causality) and univariate comparisons show: 1. The existence of a three dimensional solution, which is interpreted in terms of Seligman's reformulated helplessness model, and which confirms the notion of a "depressive attributional style". 2. A positive relationship between intensity of depression and the tendency to generalize the effects of negative life events (dimension of globality in Seligman's model and generalizability in Beck's). As this relationship is a function of the level of depression it is considered as a psychological state rather than as a personality trait. 3. Inter-sex differences with regard to the attribution of personal versus universal control, with female patients indicating more personal helplessness in relation to others. The results are discussed in relation to epidemiological data and personality theory.

摘要

本研究在贝克的情感障碍认知理论和塞利格曼的抑郁习得性无助模型的背景下,探讨了对压力性生活事件的因果归因。目的是评估塞利格曼提出的抑郁归因风格对于临床抑郁症患者在负性生活事件方面的有效性。本研究对每位受试者针对一个负性生活事件所测量的抑郁精神病患者的因果归因进行了因素分析。实验程序包括让71名病房抑郁症患者(51名女性和20名男性)按照七点量表回答15个项目,以评估所归因的原因、后果和可控性。使用多维分析(以描述因果关系的维度)和单变量比较的统计处理表明:1. 存在一个三维解决方案,根据塞利格曼重新阐述的无助模型进行解释,并证实了“抑郁归因风格”的概念。2. 抑郁强度与将负性生活事件的影响进行泛化的倾向(塞利格曼模型中的全局性维度和贝克模型中的可泛化性)之间存在正相关。由于这种关系是抑郁水平的函数,因此它被视为一种心理状态而非人格特质。3. 在个人控制与普遍控制的归因方面存在性别差异,女性患者相对于其他人表现出更多的个人无助感。研究结果结合流行病学数据和人格理论进行了讨论。

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