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探究重度抑郁症、强迫症和广泛性焦虑症患者时间视角的偏差:临床背景下的比较分析

Exploring Deviation from Time Perspective in Patients with Major Depressive Disorder, Obsessive Compulsive Disorder, and Generalized Anxiety Disorder: A Comparative Analysis in the Clinical Context.

作者信息

Rezaei Golezani Hamed, Bakhshipour Abbas, Haghighi Mahmonir, Hekmati Issa, Abdollahpour Ranjbar Hamed

机构信息

Department of Psychology, Azad University of Urmia, Urmia, Iran.

Department of Psychology, University of Tabriz, Tabriz, Iran.

出版信息

Iran J Psychiatry. 2023 Oct;18(4):380-387. doi: 10.18502/ijps.v18i4.13625.

Abstract

A growing body of research stresses the effect of time perspective (TP) on the genesis and maintenance of psychological disorders. However, the variations in the TP configuration of individuals with different disorders have not yet been completely investigated. We aimed to compare the differences in TP among patients with three common psychiatric disorders. We recruited 30 patients with major depressive disorder (MDD), 30 with generalized anxiety disorder (GAD), and 30 with obsessive-compulsive disorder (OCD). Participants completed Zimbardo's Time Perspective Inventory, Beck Depression Inventory, Generalized Anxiety Disorder Scale, Maudsley Obsessive Compulsive Inventory, and Structured Clinical Interview for DSM-5 (SCID-5). The one-way MANOVA was utilized for the comparison of TP dimensions among the three disordered groups. The results showed that TP was significantly affected in all three clinical groups. The effect of the disorder on time perspective was significant for Past Negative (PN) (F (2, 84) = 11.86, P < 0.01), Past Positive (PP) (F (2, 84) = 6.66, P < 0.01), Present Fatalistic (PF) (F (2, 84) = 7.08, P < 0.01) and Future (F) (F (2, 84) = 26.40, P < 0.01), but not for Present Hedonistic (PH). The findings revealed that the MDD group scored the highest on PN, with the GAD group scoring higher than the OCD group. The GAD and OCD groups reported higher PP than the MDD group. In addition, the MDD group scored higher than both the GAD and OCD groups on PF. Finally, the GAD patients reported higher scores than both the MDD and OCD patients on the F dimension, while the OCD patients scored higher than the MDD patients. Individuals with MDD tend to obtain higher scores in PN and PF time perspective, whereas those with GAD and OCD showed higher PP and F scores. These findings demonstrate the significance of examining TP in clinical patients and prompt further research into the association between TP and the disorders being studied. Perspectives on therapy are also explored.

摘要

越来越多的研究强调时间观(TP)对心理障碍的发生和维持的影响。然而,不同障碍个体的时间观配置差异尚未得到充分研究。我们旨在比较三种常见精神障碍患者的时间观差异。我们招募了30名重度抑郁症(MDD)患者、30名广泛性焦虑症(GAD)患者和30名强迫症(OCD)患者。参与者完成了津巴多时间观量表、贝克抑郁量表、广泛性焦虑症量表、莫兹利强迫症量表以及《精神疾病诊断与统计手册》第5版(DSM - 5)结构化临床访谈(SCID - 5)。采用单因素多元方差分析来比较三个障碍组之间的时间观维度。结果表明,所有三个临床组的时间观均受到显著影响。障碍对时间观的影响在消极过去(PN)(F(2, 84) = 11.86,P < 0.01)、积极过去(PP)(F(2, 84) = 6.66,P < 0.01)、当下宿命主义(PF)(F(2, 84) = 7.08,P < 0.01)和未来(F)(F(2, 84) = 26.40,P < 0.01)方面具有显著性,但在当下享乐主义(PH)方面不显著。研究结果显示,MDD组在PN上得分最高,GAD组得分高于OCD组。GAD组和OCD组的PP得分高于MDD组。此外,MDD组在PF上的得分高于GAD组和OCD组。最后,GAD患者在F维度上的得分高于MDD患者和OCD患者,而OCD患者的得分高于MDD患者。MDD个体在PN和PF时间观上往往得分较高,而GAD和OCD个体则表现出较高的PP和F得分。这些发现证明了在临床患者中检查时间观的重要性,并促使进一步研究时间观与所研究障碍之间的关联。同时也探讨了治疗方面的观点。

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