Jolly J B, Wherry J N, Wiesner D C, Reed D H, Rule J C, Jolly J M
Department of Psychology, Mississippi College, Clinton 39058.
J Abnorm Child Psychol. 1994 Dec;22(6):691-702. doi: 10.1007/BF02171996.
This study examined the mediating role of anxiety in the self-reports of somatic complaints in 96 depressed adolescent inpatients. Sixty-four subjects with major depressive episodes and comorbid anxiety disorders (MDE-A) determined from the Diagnostic Interview for Children and Adolescents--Revised (DICA-R) reported significantly more somatic complaints than 32 adolescents having major depressive episodes without comorbid anxiety (MDE). An analysis of covariance demonstrated that, with anxiety symptoms controlled, MDE and MDE-A groups did not differ significantly in somatic complaints. A hierarchical multiple-regression analysis revealed that, with demographic and anxiety symptoms controlled, depressive symptoms did not contribute to the explanation or prediction of somatic complaints. The results suggest that anxious, but not depressive symptoms, are independently associated with somatic complaints. The results are discussed in light of new affective models of psychopathology.
本研究调查了焦虑在96名抑郁青少年住院患者躯体不适自评报告中的中介作用。通过儿童与青少年诊断访谈修订版（DICA-R）确定的64名患有重度抑郁发作并伴有共病焦虑障碍（MDE-A）的受试者报告的躯体不适显著多于32名患有重度抑郁发作但无共病焦虑的青少年（MDE）。协方差分析表明，在控制焦虑症状后，MDE组和MDE-A组在躯体不适方面无显著差异。分层多元回归分析显示，在控制人口统计学和焦虑症状后，抑郁症状对躯体不适的解释或预测没有贡献。结果表明，是焦虑症状而非抑郁症状与躯体不适独立相关。将根据新的精神病理学情感模型对结果进行讨论。
