Coyne J C, Whiffen V E
Department of Family Practice, University of Michigan Medical Center, Ann Arbor 48109-0708, USA.
Psychol Bull. 1995 Nov;118(3):358-78. doi: 10.1037/0033-2909.118.3.358.
A congruency between personality and life stress is assumed to pose a particular risk for depression. The authors review relevant research as a way of examining broader issues entailed in diathesis-stress models of depression. Topics include the identification of distinct personality modes and the differentiation of these modes from the phenomena of depression and the influence of the social context. Diathesis-stress models face formidable conceptual and methodological challenges. More complex models are needed to accommodate the dynamics of a person's life course, involvement in significant social contexts, and fluctuations in vulnerability to depression. Base rates of key phenomena favor development of models of depression recurrence in high-risk samples rather than its onset in the general population.
人格与生活压力之间的一致性被认为会给抑郁症带来特别的风险。作者回顾了相关研究,以此来审视抑郁症素质-压力模型中所涉及的更广泛问题。主题包括识别不同的人格模式,以及将这些模式与抑郁症现象区分开来,还有社会环境的影响。素质-压力模型面临着巨大的概念和方法挑战。需要更复杂的模型来适应一个人生命历程的动态变化、在重要社会环境中的参与情况以及对抑郁症易感性的波动。关键现象的基础比率有利于在高风险样本中建立抑郁症复发模型,而不是在普通人群中建立抑郁症发病模型。