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抑郁症中的结构与“冲突”

Constructs and 'conflict' in depression.

作者信息

Sheehan M J

出版信息

Br J Psychol. 1981 May;72(Pt 2):197-209. doi: 10.1111/j.2044-8295.1981.tb02176.x.

Abstract

The relationship between the nature of self-constructs and the level of 'conflict' in depression was discussed. It was hypothesized that depressed patients would have lower self-esteem and a less differentiated self-construct system characterized by a higher level of intensity and a lower percentage of 'conflict' than non-depressed individuals. After drug therapy, it was expected that these differences would diminish - although not entirely - on the grounds that the differences are a more permanent feature of the self-construct system of the depressed-prone individual. A sample of 16 depressed patients (13 in-patients and three out-patients) were given a 'Multiple Perception of the Self' grid at the start of drug therapy. After six/eight weeks of treatment, a further grid was administered and new constructs elicited. A retest grid was administered after a short interval of 12-24 hours. The same procedure was carried out with a group of 16 non-depressed individuals - matched as far as possible for age, sex, intelligence and social class. The results offered strong support for the hypotheses.

摘要

本文探讨了自我结构的本质与抑郁症中“冲突”水平之间的关系。研究假设,与非抑郁症患者相比,抑郁症患者的自尊水平较低,自我结构系统的分化程度较低,其特征是强度较高且“冲突”比例较低。药物治疗后,预计这些差异会有所减小——尽管不会完全消失——因为这些差异是易患抑郁症个体自我结构系统更持久的特征。16名抑郁症患者(13名住院患者和3名门诊患者)在药物治疗开始时接受了“自我多重认知”方格测试。治疗六/八周后,再次进行方格测试并引出新的结构。在12 - 24小时的短时间间隔后进行重新测试方格测试。对一组16名非抑郁症个体——在年龄、性别、智力和社会阶层方面尽可能匹配——也进行了相同的程序。结果为这些假设提供了有力支持。

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