Herkov M J, Myers W C
University of Florida, Department of Psychiatry, Gainesville 32610-0256, USA.
J Clin Psychol. 1996 Nov;52(6):705-10. doi: 10.1002/(SICI)1097-4679(199611)52:6<705::AID-JCLP13>3.0.CO;2-Q.
This study examined whether adolescents with depression would produce significantly different MMPI profiles from adolescents with depression and conduct disorder. Twenty-four adolescents who met DSM-III-R criteria for major depression or dysthymia were included in the study. Nine of these 24 subjects also met DSM-III-R criteria for Conduct Disorder. Results indicated that depressed only adolescents had significantly higher elevations on scales 2 and 0 while those with depression and conduct disorder had significantly higher elevations on scales F and 9. These findings suggest that the presence of conduct disorder in depressed adolescents may lead to a veiling of their affective symptoms, thus potentially causing clinicians to underdiagnose depression in such cases.
本研究考察了患有抑郁症的青少年与患有抑郁症和品行障碍的青少年在明尼苏达多相人格测验（MMPI）上的剖面图是否会有显著差异。24名符合《精神疾病诊断与统计手册第三版修订本》（DSM-III-R）中重度抑郁症或心境恶劣诊断标准的青少年被纳入研究。这24名受试者中有9名也符合DSM-III-R中品行障碍的诊断标准。结果表明，仅患有抑郁症的青少年在量表2和0上的得分显著更高，而患有抑郁症和品行障碍的青少年在量表F和9上的得分显著更高。这些发现表明，抑郁青少年中品行障碍的存在可能会掩盖他们的情感症状，从而可能导致临床医生在此类病例中对抑郁症的诊断不足。
