Fukunishi I, Hosaka T, Negishi M, Moriya H, Hayashi M, Matsumoto T
Tokyo Institute of Psychiatry, Japan.
Psychol Rep. 1996 Apr;78(2):483-8. doi: 10.2466/pr0.1996.78.2.483.
We examined the relationship between coping responses and mood states among three samples of patients with human immunodeficiency virus (HIV) infection (n=26), end-stage renal failure (n=98), and breast cancer (n= 60). Avoidance scores differed significantly across the groups, being highest in those with HIV infection. The avoidance scores were significantly and positively correlated with depression scores. However, patients with HIV infection did not fulfill the diagnostic criteria for major depression. Although patients with HIV infection may have minor psychiatric symptoms, results suggest that the symptoms are not strong enough to warrant a psychiatric diagnosis of mood disorder. It might be clinically important to attend to avoidance behaviors and thoughts which may develop into the manifestation of depression.
我们研究了三组患者（分别为26例感染人类免疫缺陷病毒（HIV）者、98例终末期肾衰竭患者和60例乳腺癌患者）应对反应与情绪状态之间的关系。回避得分在各组间存在显著差异，HIV感染者得分最高。回避得分与抑郁得分显著正相关。然而，HIV感染患者未达到重度抑郁的诊断标准。虽然HIV感染患者可能有轻微的精神症状，但结果表明这些症状不足以支持情绪障碍的精神科诊断。关注可能发展为抑郁表现的回避行为和想法在临床上可能很重要。
