Depressive symptomatology and the influence of the behavioral avoidance and activation: A gender-specific investigation.
Depressive symptomatology and the influence of the behavioral avoidance and activation: A gender-specific investigation.
复制标题
抑郁症状学以及行为回避和激活的影响：一项针对性别的调查。
DOI：
10.1016/j.jad.2015.12.040
复制
发表时间：
2016
影响因子：
6.6
通讯作者：
S. Blairy
中科院分区：
文献类型：
--
作者：
A. Wagener;C. Baeyens;S. Blairy
抑郁症是一种非常普遍的疾病，通常被认为因性别不同而经历不同。抑郁症的行为理论指出了行为回避在抑郁症维持中的重要性。然而，行为回避和激活对每种抑郁症状的具体影响以及性别差异对抑郁行为特征的影响却知之甚少。方法本研究的目的有两个：(1)评估BDI-II存在的性别差异；(2)探讨行为回避和行为激活对BDI-II评估的各抑郁症状的不同性别预测价值。社区成年人和参加精神保健的成年人组成了样本。结果显示，不同性别的患者在症状表现上存在差异（例如，女性在悲伤、自我批评方面得分较高，男性在过去的失败和丧失快乐方面得分较高）。行为回避对女性和男性几乎所有抑郁症状都有正向预测，而行为激活对两性几乎所有抑郁症状都有负向预测。然而，对于某些症状（如悲观主义），这些关系的强度是不同的。使用自我报告工具的局限性；缺乏对抑郁症状的病因或诱发因素的评估；样本中女性的数量越多。结论：本文讨论了先前的研究结果和目前的临床意义：(1)强调了性别评估工具组合的相关性；(2)突出针对性心理干预的必要性。
BackgroundDepression is a highly prevalent disorder which is usually considered as differentially experienced depending on gender. Behavioral theories of depression pinpoint the importance of the behavioral avoidance in the maintenance of depression. However, little is known about the specific impact of the behavioral avoidance and activation on each depressive symptom as well as on gender differences on the behavioral features of depression.MethodsThis study's aim was two-fold: (1) to assess the presence of gender differences on the BDI-II; (2) to investigate the respective predictive value of behavioral avoidance and of behavioral activation on each depressive symptom assessed by the BDI-II depending on gender. Community adults and adults attending mental healthcare composed the sample.ResultsResults showed differences in symptomatology profiles depending on gender (e.g. higher scores of sadness, self-criticalness in women, higher scores of past failure and loss of pleasure in men). Behavioral avoidance positively predicted almost all depressive symptoms in women and in men while behavioral activation negatively predicted almost all symptoms in both gender. Nevertheless, the strengths of these relationships were different for some symptoms (e.g. pessimism).LimitationsThe use of self-report instruments; the lack of assessment of causal or precipitating factors of the depressive symptomatology; the higher number of women in the sample.ConclusionsResults are discussed with respect to previous findings and present clinical implications: (1) to underline the relevance of the combination of gender-specific assessment tools; (2) to highlight the need of tailored psychological intervention.
影响因子：
4.3
作者：
Johnson DP;Whisman MA
通讯作者：
Whisman MA
DOI：
10.1176/appi.ajp.2013.13101375
发表时间：
2014-04
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Kendler KS;Gardner CO
通讯作者：
Gardner CO
影响因子：
4.6
作者：
Dickson, Joanne M.;Moberly, Nicholas J.;Kinderman, Peter
通讯作者：
Kinderman, Peter