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抑郁症患者的父母表象:情绪低落变化中的稳定性及不同诊断间的特异性。

Depressed patients' parental representations: stability across changes in depressed mood and specificity across diagnoses.

作者信息

Gerlsma C, Das J, Emmelkamp P M

机构信息

Department of Clinical Psychology, University of Groningen, Academic Hospital, The Netherlands.

出版信息

J Affect Disord. 1993 Mar;27(3):173-81. doi: 10.1016/0165-0327(93)90005-5.

Abstract

Parental representations of a Dutch sample of psychiatric patients with diagnoses of dysthymia and unipolar depression were compared with those of a matched sample of non-depressed patients and a matched sample of healthy controls. No differences in recalled parental rearing styles were found between depressives with a diagnosis of dysthymia and those with a diagnosis of unipolar depression. Depressive did not differ from the mixed (but non-depressed) sample of psychiatric patients, whereas both the depressed and the mixed group of patients reported more adverse parenting than the healthy controls. Analysis of repeated measurements of parental representations showed that memories of parental behavior were highly stable across clinically significant changes in depressed mood, so that it seems unlikely that patients' relatively negative recollections of their parents' behavior were due to mood state dependent recall. Results are discussed within the framework of depression theories and with regard to the validity and utility of self-report instruments for parental rearing styles.

摘要

对一组被诊断为心境恶劣障碍和单相抑郁症的荷兰精神病患者样本的父母表征,与一组匹配的非抑郁患者样本以及一组匹配的健康对照样本的父母表征进行了比较。在被诊断为心境恶劣障碍的抑郁症患者和被诊断为单相抑郁症的患者之间,未发现回忆起的父母养育方式存在差异。抑郁症患者与混合(但非抑郁)的精神病患者样本没有差异,而抑郁症患者组和混合患者组报告的不良养育方式都比健康对照更多。对父母表征的重复测量分析表明,在抑郁情绪的临床显著变化中,对父母行为的记忆高度稳定,因此患者对父母行为相对负面的回忆似乎不太可能是由于情绪状态依赖的回忆。在抑郁症理论框架内,并就父母养育方式的自我报告工具的有效性和实用性对结果进行了讨论。

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