Yin Xifan, Li Yifan, Ye Yingying, Wang Yibo, Zha Yichang, Xu Liang, Qin Xiangjie, Wei Shengzhong, Feng Xinyu
Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou University, Huzhou, 313000, China.
Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou, 310058, China.
BMC Psychol. 2025 May 28;13(1):573. doi: 10.1186/s40359-025-02899-3.
This study examined the relationship between self-esteem, interpersonal sensitivity, rumination, and depression in psychiatric patients. Participants included 159 adults with major depressive disorder (MDD) or generalized anxiety disorder (GAD) (Age: M = 31.69, SD = 11.54; 70.4% Female). The study measured depression, self-esteem and interpersonal sensitivity at T1 and rumination and depression at T2 after 10 to 14 days. The study found that after controlling for depression at T1, age, gender, and measurement time interval, low self-esteem at T1 could impact depression at T2 through the mediation of reflection at T2, as well as through the chain mediation of interpersonal sensitivity at T1 and rumination at T2. The results indicated that for patients of MDD or GAD with low self-esteem, we could pay attention to intervening with rumination and interpersonal sensitivity, such as applying rumination-focused cognitive behavioral therapy or interpersonal psychotherapy.
本研究探讨了精神病患者的自尊、人际敏感性、沉思与抑郁之间的关系。参与者包括159名患有重度抑郁症（MDD）或广泛性焦虑症（GAD）的成年人（年龄：M = 31.69，标准差 = 11.54；70.4%为女性）。该研究在T1时测量了抑郁、自尊和人际敏感性，并在10至14天后的T2时测量了沉思和抑郁。研究发现，在控制了T1时的抑郁、年龄、性别和测量时间间隔后，T1时的低自尊可通过T2时的沉思中介，以及通过T1时的人际敏感性和T2时的沉思的链式中介影响T2时的抑郁。结果表明，对于自尊较低的MDD或GAD患者，我们可以关注对沉思和人际敏感性的干预，如应用以沉思为重点的认知行为疗法或人际心理治疗。
