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抑郁症中的认知与生活压力:认知因素以及负面生活事件的定义、评定和产生

Cognition and life stress in depression: cognitive factors and the definition, rating, and generation of negative life events.

作者信息

Simons A D, Angell K L, Monroe S M, Thase M E

机构信息

Department of Psychology, University of Oregon, Eugene 97403.

出版信息

J Abnorm Psychol. 1993 Nov;102(4):584-91.

PMID:8282928
Abstract

The relationship between cognitive factors and different conceptualizations and measures of life stress poses important questions for contemporary theories of depression. We examined whether cognitive factors (dysfunctional attitudes and attributional style) are related to the definition, rating, and generation of negative life events. Life events were assessed with both subjective self-report and more objective interview-based methods in endogenously depressed outpatients. The results partially support the hypothesis that cognitive factors are related to definition and severity ratings of self-report measures of particular types of life events. These relationships held primarily for achievement, as compared with interpersonal, events. The results also support the hypothesis that elevated scores on measures of cognition are associated with the number of objectively defined events occurring prior to the onset of depression, suggesting that some patients may generate the life events that in turn may initiate a depressive episode.

摘要

认知因素与生活压力的不同概念化及测量方法之间的关系,给当代抑郁症理论提出了重要问题。我们研究了认知因素(功能失调性态度和归因方式)是否与负面生活事件的定义、评级及产生有关。在内源性抑郁症门诊患者中,我们采用主观自我报告和更客观的基于访谈的方法对生活事件进行了评估。结果部分支持了以下假设:认知因素与特定类型生活事件的自我报告测量的定义和严重程度评级有关。与人际事件相比,这些关系主要体现在成就方面。结果还支持了以下假设:认知测量得分升高与抑郁症发作前客观定义的事件数量相关,这表明一些患者可能会产生那些继而可能引发抑郁发作的生活事件。

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