Life events and depressive disorder reviewed. II. Events as precipitating factors.
Life events and depressive disorder reviewed. II. Events as precipitating factors.
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回顾生活事件和抑郁症。
DOI：
10.1001/archpsyc.1980.01780180055005
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发表时间：
1980
影响因子：
--
通讯作者：
C. Lloyd
中科院分区：
文献类型：
--
作者：
C. Lloyd
我回顾了一些研究，这些研究检验了生活事件可能促成抑郁症的假设。尽管存在一些相互矛盾的结果，但大多数研究表明，抑郁症患者在发病前的几个月里比正常对照组或精神分裂症患者经历了更多的压力事件。在计算相对风险数字时，似乎抑郁风险在事件发生后的六个月内增加了约5或6倍。某些事件，如不受欢迎的，损失或严重威胁的事件，特别可能先于抑郁症。这些结果表明，压力事件可以导致抑郁发作，但大多数支持这一结论的证据来自回顾性研究，肯定需要前瞻性研究的证实。此外，并不是所有的抑郁症患者都会报告突发事件，因此其他因果因素也是起作用的。
I reviewed studies examining the hypothesis that life events may precipitate a depressive disorder. Although some contradictory results exist, the majority of studies demonstrate that depressed patients experience more stressful events in the months that precede the onset of their disorder than do normal controls or schizophrenics. In calculating relative risk figures, it seems that depressive risk is increased by a factor of about 5 or 6 for the six months after an event. Certain events, such as undesirable, loss, or severely threatening events, are particularly likely to precede a depression. These results suggest that stressful events can bring about depressive episodes, but most of the evidence that supports this conclusion emanates from retrospective studies, and corroborating prospective studies are definitely needed. Furthermore, not all depressives report precipitating events, so other causal factors are also operative.