Harder D W, Strauss J S, Kokes R F, Ritzler B A
Genet Psychol Monogr. 1984 May;109(2D Half):223-50.
To test empirically the oft-repeated clinical hypothesis of a relationship between the self-derogation component of low self-esteem and severity of psychopathology across the entire range of pathology, including nondepressive disorders, the present study examined this relationship in two samples of Ss. The first were 152 patients and expatients from two community mental health catchment areas followed up two years after their first functional-disorder psychiatric admission. The second group were 97 outpatients from the same catchment areas beginning therapy at a community mental health clinic. Within each sample self-derogation was related significantly to severity of diagnosis, overall health-sickness, numerous indices of symptomatology severity, and a measure of difficulty in social/employment functioning. These findings point to the need to recognize and treat self-derogation in psychopathological states other than depression. In addition, they raise the important question of direction of causality between self-derogation and observed psychopathology.
为了通过实证检验一个经常被提及的临床假设，即自卑的自我贬低成分与包括非抑郁性障碍在内的整个病理范围内精神病理学的严重程度之间的关系，本研究在两组样本中考察了这种关系。第一组是来自两个社区心理健康服务区域的152名患者和康复者，在他们首次因功能性障碍精神疾病入院两年后进行随访。第二组是来自相同服务区域的97名门诊患者，他们在社区心理健康诊所开始接受治疗。在每个样本中，自我贬低与诊断的严重程度、整体健康状况、众多症状严重程度指标以及社会/就业功能困难程度的一项测量显著相关。这些发现表明，有必要在除抑郁症之外的精神病理状态中认识并治疗自我贬低。此外，它们还提出了自我贬低与观察到的精神病理学之间因果关系方向的重要问题。
