McIvor G P, Riklan M, Reznikoff M
J Clin Psychol. 1984 Jul;40(4):1028-33. doi: 10.1002/1097-4679(198407)40:4<1028::aid-jclp2270400427>3.0.co;2-1.
Degree of depression found in 120 spinal multiple sclerosis (MS) outpatients was related significantly to selected illness, demographic, and social variables. The more depressed individuals tended to be more disabled, older, and, in particular, perceived their families and friends as providing less social support than those who were less depressed. Those who had experienced at least one remission were less depressed than those who never had had a remission. Contrary to hypothesized expectations, the results also suggested that the longer a patient has MS, the more depressed he will be. Such results raise implications for psychotherapeutic intervention in this population, as well as suggest the need for future investigations of the MS patient's body image, self-concept, and perception of disability.
在120名脊髓型多发性硬化症（MS）门诊患者中发现的抑郁程度与特定的疾病、人口统计学和社会变量显著相关。抑郁程度较高的个体往往残疾程度更高、年龄更大，尤其是他们认为家人和朋友提供的社会支持比抑郁程度较低的人少。经历过至少一次病情缓解的患者比从未缓解过的患者抑郁程度更低。与预期假设相反，结果还表明，患者患MS的时间越长，抑郁程度就越高。这些结果对该人群的心理治疗干预具有启示意义，也表明未来需要对MS患者的身体形象、自我概念和残疾认知进行调查。
