POSITIVE AND NEGATIVE AFFECTIVITY AND THEIR RELATION TO ANXIETY AND DEPRESSIVE-DISORDERS
POSITIVE AND NEGATIVE AFFECTIVITY AND THEIR RELATION TO ANXIETY AND DEPRESSIVE-DISORDERS
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DOI：
10.1037/0021-843x.97.3.346
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发表时间：
1988-08-01
影响因子：
4.6
通讯作者：
CAREY, G
中科院分区：
文献类型：
--
作者：
WATSON, D;CLARK, LA;CAREY, G
抑郁症和焦虑症的区别一直是一个备受关注和争议的问题。然而，对正常样本的研究表明，对两种广泛的情绪因素--消极情绪（NA）和积极情绪（PA）--的评估可能会改善它们的分化。本研究将这些发现扩展到临床样本。作为一项正在进行的双胞胎研究的一部分，对90名住院先证者和60名双胞胎进行了诊断访谈表（DIS; Robins，Helzer，Croughan，&拉特克利夫，1981）中焦虑和抑郁部分的访谈。受访者还完成了特质NA和PA量表。与以前的研究一致，NA与焦虑和抑郁的症状和诊断广泛相关，并作为精神障碍的一般预测因子。相比之下，PA始终只与抑郁症的症状和诊断相关（负相关），这表明愉快参与的丧失是抑郁症的一个显著特征。结果表明，加强抑郁测量中的PA成分可能会提高其辨别力。
Distinguishing between depression and anxiety has been a matter of concern and controversy for some time. Studies in normal samples have suggested, however, that assessment of two broad mood factors—Negative Affect (NA) and Positive Affect (PA)—may improve their differentiation. The present study extends these findings to a clinical sample. As part of an ongoing twin study, 90 inpatient probands and 60 cotwins were interviewed with the anxiety and depression sections of the Diagnostic Interview Schedule (DIS; Robins, Helzer, Croughan, & Ratcliff, 1981). Respondents also completed trait NA and PA scales. Consistent with previous research, NA was broadly correlated with symptoms and diagnoses of both anxiety and depression, and acted as a general predictor of psychiatric disorder. In contrast, PA was consistently related (negatively) only to symptoms and diagnoses of depression, indicating that the loss of pleasurable engagement is a distinctive feature of depression. The results suggest that strengthening the PA component in depression measures may enhance their discriminative power.