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生活事件无法预测症状:症状只能预测症状。

Life events do not predict symptoms: symptoms predict symptoms.

作者信息

Grant I, Patterson T, Olshen R, Yager J

出版信息

J Behav Med. 1987 Jun;10(3):231-40. doi: 10.1007/BF00846537.

DOI:10.1007/BF00846537
PMID:3612780
Abstract

The effects of life events and previous symptoms on current symptom levels were examined in a model using data from a 3-year prospective study. Male psychiatric patients and nonpatients reported on life events and symptoms every 2 months on 18 occasions. Logistic regression analysis of these data revealed little dependence of psychiatric symptoms on preceding life events as measured by the Holmes and Rahe Schedule of Recent Experiences (SRE). The best predictor of the current symptom level was the level of previous symptoms. It is concluded that efforts to relate changes in the social environment to health must first consider the possible contribution of the antecedent symptom level to the variability in health outcome.

摘要

在一个使用来自一项为期3年的前瞻性研究数据的模型中,研究了生活事件和既往症状对当前症状水平的影响。男性精神科患者和非患者每2个月报告一次生活事件和症状,共报告了18次。对这些数据进行的逻辑回归分析显示,按照霍尔姆斯和拉赫近期经历量表(SRE)衡量,精神症状对既往生活事件的依赖性很小。当前症状水平的最佳预测指标是既往症状水平。得出的结论是,将社会环境变化与健康联系起来的努力必须首先考虑既往症状水平对健康结果变异性可能产生的影响。

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本文引用的文献

1
Quality of life events in relation to psychiatric symptoms.与精神症状相关的生活质量事件。
Arch Gen Psychiatry. 1981 Mar;38(3):335-9. doi: 10.1001/archpsyc.1981.01780280103012.
2
Life events and symptoms: Fourier analysis of time series from a three-year prospective inquiry.生活事件与症状:来自一项为期三年的前瞻性调查的时间序列的傅里叶分析
Arch Gen Psychiatry. 1982 May;39(5):598-605. doi: 10.1001/archpsyc.1982.04290050066013.
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Magnitude estimations of social readjustments.社会再适应的量级评估。
自杀倾向、抑郁、重大和轻微负面生活事件:一种中介模型。
Psychosoc Med. 2010 Sep 22;7:Doc05. doi: 10.3205/psm000067.
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Risk factors for orofacial and limbtruncal tardive dyskinesia in older patients: a prospective longitudinal study.老年患者口面部及肢体躯干迟发性运动障碍的危险因素:一项前瞻性纵向研究。
Psychopharmacology (Berl). 1996 Feb;123(4):307-14. doi: 10.1007/BF02246639.
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Severely threatening events and marked life difficulties preceding onset or exacerbation of multiple sclerosis.在多发性硬化症发病或病情加重之前出现的严重威胁性事件和显著的生活困难。
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A multivariate analysis of the risk of coronary heart disease in Framingham.弗雷明汉冠心病风险的多变量分析。
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The reporting of recent stress in the lives of psychiatric patients. A study of 80 hspitalized patients and 103 informants reporting the presence or absence of specified types of stress.
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Scaling of life events by psychiatric patients and normals.精神病患者和正常人对生活事件的衡量
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Live events, stress, and illness.现场活动、压力与疾病。
Science. 1976 Dec 3;194(4269):1013-20. doi: 10.1126/science.790570.
9
Some issues in research on stressful life events.应激性生活事件研究中的一些问题。
J Nerv Ment Dis. 1978 Jan;166(1):7-15. doi: 10.1097/00005053-197801000-00003.
10
Stressful life events, personality, and health: an inquiry into hardiness.压力性生活事件、个性与健康:对心理韧性的探究。
J Pers Soc Psychol. 1979 Jan;37(1):1-11. doi: 10.1037//0022-3514.37.1.1.