Levitan R D, Rector N A, Bagby R M
Depression Clinic, Cognitive Behavioral Therapy Unit, Clarke Institute of Psychiatry, Toronto, Ont., Canada.
Am J Psychiatry. 1998 Mar;155(3):428-30. doi: 10.1176/ajp.155.3.428.
There is a substantial relationship between dysfunctional cognitions and the clinical course of major depression. This study examined whether this association extends to patients with seasonal affective disorder.
A revised version of the Attributional Style Questionnaire was used to assess negative attributional style and predict response to treatment in a group of depressed outpatients, 26 with seasonal depression and 30 with nonseasonal, unipolar major depression.
Pretreatment scores on negative attributional style did not differ between the patients with seasonal affective disorder and those with nonseasonal depression. Negative attributional style predicted poor response to pharmacotherapy in the nonseasonal depression group but did not predict response to light therapy in the group with seasonal affective disorder.
Dysfunctional cognitions may play a lesser role in seasonal affective disorder than in nonseasonal depression.
功能失调性认知与重度抑郁症的临床病程之间存在着密切关系。本研究探讨了这种关联是否也适用于季节性情感障碍患者。
使用修订版的归因方式问卷来评估一组抑郁症门诊患者的负性归因方式，并预测其治疗反应，其中26例为季节性抑郁症患者，30例为非季节性单相重度抑郁症患者。
季节性情感障碍患者与非季节性抑郁症患者在负性归因方式的治疗前得分上没有差异。负性归因方式可预测非季节性抑郁症组药物治疗反应不佳，但不能预测季节性情感障碍组的光疗反应。
功能失调性认知在季节性情感障碍中所起的作用可能比在非季节性抑郁症中要小。
