Grant I, Sweetwood H L, Yager J, Gerst M
Arch Gen Psychiatry. 1981 Mar;38(3):335-9. doi: 10.1001/archpsyc.1981.01780280103012.
This prospective study explored the relationship of life changes to psychiatric symptom changes in psychiatric outpatients (N = 196) and a comparison group of nonpatients (N = 194). Subjects completed the Schedule of Recent Experiences and a symptom checklist bimonthly for 18 months. At all reporting intervals, symptoms and events were strongly correlated. Undesirable and uncontrollable events related positively and desirable events negatively to symptoms. Among symptoms, those of a dysphoric and somatic nature were most strongly associated with event change. Psychiatric patients also reported more undesirable, more uncontrollable, and fewer desirable events than the comparison group. We conclude that the relationship of life events to symptoms depends on the specific qualities of both events and symptoms. Undesirable and uncontrollable events appear to have a direct, and desirable events an inverse, association with dysphoric and somatic symptoms.
这项前瞻性研究探讨了生活变化与精神科门诊患者（N = 196）以及非患者对照组（N = 194）精神症状变化之间的关系。研究对象每两个月完成一次《近期经历量表》和一份症状清单，为期18个月。在所有报告间隔中，症状与事件都密切相关。不良且无法控制的事件与症状呈正相关，而良性事件与症状呈负相关。在症状方面，烦躁不安和躯体性症状与事件变化的关联最为强烈。与对照组相比，精神科患者报告的不良事件更多、可控事件更少且良性事件更少。我们得出结论，生活事件与症状之间的关系取决于事件和症状的具体特征。不良且无法控制的事件似乎与烦躁不安和躯体性症状存在直接关联，而良性事件则与之呈反向关联。
