Gilbert P, Allan S
Department of Psychology, Kingsway Hospital, Derby.
Psychol Med. 1998 May;28(3):585-98. doi: 10.1017/s0033291798006710.
The social rank theory of psychopathology suggests that with the evolution of social hierarchies various psychobiological mechanisms became attuned to the success or failure in conflict situations. Specifically, subordinates and those who have lost status are at greater risk of pathology than winners and those of higher status. In this theory concepts of defeat and entrapment are seen to be of special relevance to the study of depression. We outline the role of defeat and entrapment within the social rank theory of depression.
New self-report measures of entrapment and defeat were developed and used to test predictions of the social rank theory of depression. Both a sample of students and depressed patients were assessed with these new scales and other social rank measures (e.g. social comparison and submissive behaviour).
The entrapment and defeat measures were found to have good psychometric properties and significantly correlated with depression. They were also strongly associated with other rank variables. Defeat maintained a strong association with depression even after controlling for hopelessness (r = 0.62), whereas the relationship between hopelessness and depression was substantially reduced when controlling for defeat. Entrapment and defeat added substantially to the explained variance of depression after controlling for the other social rank variables.
Defeat and entrapment appear to be promising variables for the study of depression. These variables may also help to develop linkages between human and animal models of psychopathology.
精神病理学的社会等级理论表明,随着社会等级制度的演变,各种心理生物学机制开始适应冲突情境中的成败。具体而言,处于从属地位者以及那些失去地位的人比胜利者和地位较高者更容易出现病理状况。在该理论中,失败和陷入困境的概念被认为与抑郁症的研究特别相关。我们概述了失败和陷入困境在抑郁症社会等级理论中的作用。
开发了新的关于陷入困境和失败的自我报告测量方法,并用于检验抑郁症社会等级理论的预测。使用这些新量表以及其他社会等级测量方法(如社会比较和顺从行为)对学生样本和抑郁症患者进行了评估。
发现关于陷入困境和失败的测量方法具有良好的心理测量特性,并且与抑郁症显著相关。它们还与其他等级变量密切相关。即使在控制了绝望感之后,失败与抑郁症之间仍保持着强烈的关联(r = 0.62),而在控制了失败之后,绝望感与抑郁症之间的关系则大幅减弱。在控制了其他社会等级变量之后,陷入困境和失败对抑郁症的解释方差有显著增加。
失败和陷入困境似乎是研究抑郁症的有前景的变量。这些变量也可能有助于建立人类和动物精神病理学模型之间的联系。