Marton P, Churchard M, Kutcher S
Department of Psychiatry, Sunnybrook Health Science Centre, Toronto, Ontario, Canada.
J Psychiatry Neurosci. 1993 May;18(3):103-7.
Cognitive theories of the etiology of depression in adulthood have received widespread acceptance. To date there is little evidence of the role of cognitive distortion in the etiology of depression among adolescents. This study was conducted to determine whether or not cognitive distortion differentiates depressed adolescents from non-depressed adolescents. The Dysfunctional Attitude Scale, a measure of cognitive distortion, was administered to three groups of adolescents: clinically depressed; non-depressed with non-psychotic psychiatric disorders; and a non-clinical group of adolescents without psychiatric disorders. A subset of the depressed patients was re-administered the scale after they had clinically recovered from the depressive episode. The depressed adolescents had significantly greater cognitive distortion than the non-depressed adolescents. Remission of the depressive disorder was associated with a significant reduction in cognitive distortion, although the level of cognitive distortion was still significantly higher than normal.
成年期抑郁症病因的认知理论已得到广泛认可。迄今为止，几乎没有证据表明认知扭曲在青少年抑郁症病因中所起的作用。本研究旨在确定认知扭曲是否能区分抑郁青少年和非抑郁青少年。对三组青少年进行了功能失调态度量表测试，该量表用于测量认知扭曲：临床抑郁症患者；患有非精神病性精神障碍的非抑郁症患者；以及无精神障碍的非临床青少年组。部分抑郁症患者在临床症状从抑郁发作中恢复后再次接受该量表测试。抑郁青少年的认知扭曲程度明显高于非抑郁青少年。抑郁症缓解与认知扭曲的显著减少相关，尽管认知扭曲水平仍显著高于正常水平。
