Coyne J C, Gallo S M, Klinkman M S, Calarco M M
University of Michigan Medical Center, Department of Family Practice, Ann Arbor 48109-0708, USA.
J Abnorm Psychol. 1998 Feb;107(1):86-96. doi: 10.1037//0021-843x.107.1.86.
The Self-Appraisal Questionnaire (J. C. Coyne & M. M. Calarco, 1995) was used to examine how primary care and psychiatric outpatients with recent or past major depression appraised their prospects and structured their lives. They were compared with nondistressed and distressed primary care patients. Both depressed groups scored higher than the nondistressed patients for Lack of Energy, Management of Burden on Others, Need to Maintain a Balance in Life, Fear of Taking Risks, Imposition of Limitations on Life, and Sense of Stigma. The distressed group fell between the depressed psychiatric and the nondistressed groups, and generally did not differ from the depressed primary care group. Past depression did not explain differences associated with more recent depression and distress. Distress entails a need to manage its effects on others, but depression in psychiatric patients may produce a more profound reorganization of self-concept, relationships, and coping.
自我评估问卷（J.C.科因和M.M.卡拉尔科，1995年）被用于研究近期或过去患有重度抑郁症的初级保健和精神科门诊患者如何评估自己的前景以及安排自己的生活。将他们与无困扰和有困扰的初级保健患者进行比较。在缺乏精力、对他人负担的管理、生活中保持平衡的需求、对冒险的恐惧、对生活的限制以及耻辱感方面，两个抑郁组的得分均高于无困扰患者。有困扰组的得分介于抑郁的精神科患者组和无困扰组之间，并且总体上与抑郁的初级保健组没有差异。过去的抑郁症并不能解释与近期抑郁症和困扰相关的差异。困扰需要应对其对他人的影响，但精神科患者的抑郁症可能会导致自我概念、人际关系和应对方式更深刻的重新组织。
