REPORTS OF THE CHILDHOOD HOME-ENVIRONMENT IN EARLY-ONSET DYSTHYMIA AND EPISODIC MAJOR DEPRESSION
REPORTS OF THE CHILDHOOD HOME-ENVIRONMENT IN EARLY-ONSET DYSTHYMIA AND EPISODIC MAJOR DEPRESSION
复制标题
DOI：
10.1037/0021-843x.104.1.132
复制
发表时间：
1995-02-01
影响因子：
4.6
通讯作者：
DONALDSON, SK
中科院分区：
文献类型：
--
作者：
LIZARDI, H;KLEIN, DN;DONALDSON, SK
这项研究解决了两个问题：(A)早发性恶劣心境是否与儿童时期家庭环境紊乱的报道有关；以及(B)不良早期经历是否至少在一定程度上解释了恶劣心境和严重抑郁的不同临床表现？研究对象包括97名早发性恶劣心境障碍患者、45名发作性重度抑郁症患者和45名正常对照。使用访谈和自我报告两种方法对早期家庭环境进行了盲目诊断评估。与正常对照组相比，早发性恶劣心境障碍患者报告的身体和性虐待明显更多，与父母的关系更差。此外，据报道，心境恶劣的患者所接受的父母教育明显比那些发作性重度抑郁症患者差得多。这一结果不能用情绪状态效应、与边缘线和反社会人格障碍的共病或共病的严重抑郁来解释。
This study addressed 2 questions: (a) is early-onset dysthymia associated with reports of a disturbed childhood home environment; and (b) can adverse early experiences account, at least in part, for the differing clinical presentations of dysthymia and major depression? Participants included 97 outpatients with early-onset dysthymia, 45 outpatients with episodic major depression, and 45 normal controls. The early home environment was assessed blind to diagnosis using both interview and self-report measures. Early-onset dysthymia patients reported significantly more physical and sexual abuse and poorer relationships with both parents than normal controls. In addition, patients with dysthymia reported having received significantly poorer parenting than those with episodic major depression. The results could not be accounted for by mood state effects, comorbidity with border-line and antisocial personality disorder, or comorbid major depression.