Smith T W, O'Keeffe J L, Christensen A J
Department of Psychology, University of Utah, Salt Lake City 84112.
J Consult Clin Psychol. 1994 Feb;62(1):195-8. doi: 10.1037//0022-006x.62.1.195.
Previous studies have demonstrated that cognitive distortion is associated with increased levels of self-reported depression among chronic pain patients, suggesting that cognitive models of depression might be useful in this context. However, reliance on self-reports of depression hampers generalization of these results to clinically significant depressive disorders. To address this problem, we examined the association between depression diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised (DSM-III-R; American Psychiatric Association, 1987) (i.e., major depression and dysthymia) and scores on the Cognitive Errors Questionnaire (CEQ). Depressed chronic pain patients and depressed nonpain patients reported more cognitive distortion than did nondepressed pain patients and normal controls. These results support the relevance of cognitive theory in the explication of clinically significant depression among chronic pain patients.
以往的研究表明，认知扭曲与慢性疼痛患者自我报告的抑郁水平升高有关，这表明抑郁的认知模型在这种情况下可能有用。然而，依赖抑郁的自我报告妨碍了将这些结果推广到具有临床意义的抑郁症。为了解决这个问题，我们研究了根据《精神障碍诊断与统计手册》第三版修订本（DSM-III-R；美国精神病学协会，1987年）诊断的抑郁症（即重度抑郁症和心境恶劣）与认知错误问卷（CEQ）得分之间的关联。与未患抑郁症的疼痛患者和正常对照组相比，患抑郁症的慢性疼痛患者和患抑郁症的非疼痛患者报告的认知扭曲更多。这些结果支持了认知理论在解释慢性疼痛患者中具有临床意义的抑郁症方面的相关性。
