Parker G B, Brown L B
Arch Gen Psychiatry. 1982 Dec;39(12):1386-91. doi: 10.1001/archpsyc.1982.04290120022004.
An attempt was made to identify the repertoires of coping behaviors that may mediate between life events and depressive disorders. Six structural dimensions emerged in a non-clinical group: recklessness, socialization, distraction, problem solving, self-consolation, and passivity. Several age, sex, and social class effects on derived scale scores that assessed behavioral change and the perceived effectiveness of behavioral change were also shown in that nonclinical group. Subsequently, a controlled study revealed behavioral decrement in the reports of nonpsychotic depressives. Further analyses suggested that the decrements could best be explained as a consequence of state levels of depression rather than as indicating ongoing vulnerability characteristics. Such findings have important therapeutic implications for behavioral and cognitive behavioral treatments of depressive disorders.
研究试图确定可能在生活事件与抑郁症之间起中介作用的应对行为模式。在一个非临床组中出现了六个结构维度:鲁莽、社交、分心、解决问题、自我安慰和被动。在该非临床组中还显示了年龄、性别和社会阶层对评估行为变化及行为变化感知有效性的派生量表分数的若干影响。随后,一项对照研究揭示了非精神病性抑郁症患者报告中的行为减少。进一步分析表明,这些减少最好解释为抑郁状态水平的结果,而非表明存在持续的易感性特征。这些发现对抑郁症的行为治疗和认知行为治疗具有重要的治疗意义。