Is self-criticism unique for depression? A comparison with social phobia

Is self-criticism unique for depression? A comparison with social phobia
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DOI:
10.1016/s0165-0327(99)00043-9
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发表时间:
2000-01-01
影响因子:
6.6
通讯作者:
Joffe, RT
Joffe, RT
中科院分区:
医学2区
文献类型:
--
作者:
Cox, BJ;Rector, NA;Joffe, RT

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背景资料:该研究进一步检查了自我批评人格维度的诊断特异性,如通过抑郁经历问卷(DEQ; Blatt等人,1976.抑郁经历问卷。耶鲁大学出版社,纽黑文)。方法:将26例抑郁症患者与32例社交恐怖症患者进行比较。结果:抑郁症患者在DEQ自我批评维度上得分显著高于对照组。然而,当控制了当前的抑郁情绪水平时,自我批评并不是诊断状态的重要预测因素。此外,社交恐惧症患者报告的DEQ自我批评水平几乎是早期对惊恐障碍患者进行的诊断特异性研究中报告的水平的三倍[Bagby等人,1992.重性抑郁症患者依赖和自我批评人格维度的诊断特异性。J. Affect.混乱26,59-64]。局限性:本研究仅使用了一种自我批评方法,研究设计是横断面的,而不是前瞻性的。结论:自我批评并不是重度抑郁症所独有的,这种人格维度可能与其他形式的精神病理学有关[Blatt,1991。精神病理学的认知形态学。J. Nerv。门特179,449-458]。一些被认为在抑郁症中起重要作用的认知特征在社交恐惧症患者中也可能很突出。(C)2000爱思唯尔科技有限公司。保留所有权利。
Background: This study further examined the diagnostic specificity of the self-critical personality dimension, as measured by the Depressive Experiences Questionnaire (DEQ; Blatt et al., 1976. The Depressive Experiences Questionnaire. Yale University Press, New Haven). Methods: Patients with major depression (n = 26) were compared to social phobia patients (It = 32). Results: Depressed patients scored significantly higher on the DEQ Self-Criticism dimension. However, when current level of depressed mood was controlled for, self-criticism was not a significant predictor of diagnostic status. Further, the level of DEQ self-criticism reported by patients with social phobia was almost three times greater than the level reported in an earlier diagnostic specificity study with panic disorder patients [Bagby et al., 1992. Diagnostic specificity of the dependent and self-critical personality dimensions in major depression. J. Affect. Disord. 26, 59-64]. Limitations: Only one measure of self-criticism was used in this study, and the research design was cross-sectional rather than prospective. Conclusions: Self-criticism is not unique to major depression, and this personality dimension may be implicated in other forms of psychopathology [Blatt, 1991. A cognitive morphology of psychopathology. J. Nerv. Ment. Dis. 179, 449-458]. Some cognitive features believed to play an important role in depression may also be salient in persons with social phobia. (C) 2000 Elsevier Science B.V. All rights reserved.