Domken M, Scott J, Kelly P
St. Nicholas Hospital, Newcastle upon Tyne, UK.
J Affect Disord. 1994 Aug;31(4):253-9. doi: 10.1016/0165-0327(94)90101-5.
This study used a matched clinician and self-rating scale, the Inventory for Depressive Symptomatology (IDS; Rush et al., 1986), in the assessment of 48 patients meeting DSM-III-R criteria for non-psychotic major depressive disorder. Patients generally rated their symptoms as more severe than the clinician, but differences between the self and clinician rating (the delta-IDS) were significantly correlated with non-endogenous depressive subtype, higher levels of neuroticism and dysfunctional attitudes, and lower self-esteem. Multiple linear regression analysis which controlled for severity of depression demonstrated that whilst neuroticism, dysfunctional attitudes and self-esteem accounted for 48.5% of the variance in delta-IDS, the variable accounting for most of the variance was low self-esteem (47.9%).
本研究使用了一种匹配的临床医生和自评量表，即抑郁症状量表（IDS；Rush等人，1986年），对48名符合DSM-III-R非精神病性重度抑郁症标准的患者进行评估。患者通常将自己的症状评定为比临床医生评定的更为严重，但自我评定与临床医生评定之间的差异（IDS差值）与非内源性抑郁亚型、较高水平的神经质和功能失调态度以及较低的自尊显著相关。控制抑郁严重程度的多元线性回归分析表明，虽然神经质、功能失调态度和自尊占IDS差值方差的48.5%，但占方差大部分的变量是低自尊（47.9%）。
