Content-specificity of dysfunctional cognitions for patients with bipolar mania versus unipolar depression: a preliminary study.
Content-specificity of dysfunctional cognitions for patients with bipolar mania versus unipolar depression: a preliminary study.
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双相躁狂与单相抑郁患者功能障碍认知的内容特异性：一项初步研究。
DOI：
10.1111/j.1399-5618.2004.00165.x
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发表时间：
2005
影响因子：
5.4
通讯作者：
Beck,AaronT
中科院分区：
文献类型：
--
作者：
Goldberg,JosephF;Wenze,SusanJ;Welker,TaraM;Steer,RobertA;Beck,AaronT
目的：功能失调的信念或认知被认为是抑郁症现象学和发病机制的基础。然而，躁狂症的认知方面还没有得到彻底的研究。我们试图比较23例双相躁狂或轻躁狂症患者、28例单相重度抑郁症患者和24名正常成年人的不良适应信念和认知。方法：采用躁狂症认知检查表(CCL-M)进行评估。该量表由7个子量表组成，包括(A)自我重要性、(B)人际关系浮夸、(C)不适当消费、(D)兴奋和冒险、(E)人际挫折、(F)目标驱动活动、(G)过去或未来的人生观，并得出总分。结果：双相躁狂症患者的CCL-M总分显著高于单相抑郁症患者的CCL-M总分，患者的CCL-M总分也高于正常成人。双相躁狂患者的兴奋感、过去和未来记忆和期望的平均得分也显著高于单相抑郁患者。结论：双相躁狂患者比单相抑郁患者和正常成人更支持与躁狂相关的不良适应信念和认知。对早期识别与躁狂症的前驱状态相关的认知和心理治疗干预的意义进行了讨论。
Objective:Dysfunctional beliefs or cognitions are considered to be fundamental to both the phenomenology and pathogenesis of depression. However, the cognitive aspects of mania have not been as thoroughly investigated. We sought to compare the maladaptive beliefs and cognitions of 23 bipolar manic or hypomanic patients, 28 patients with unipolar major depression, and 24 normal adults.Method:The Cognition Checklist for Mania (CCL‐M) was used to assess the beliefs. This 61‐item self‐report instrument is scored for seven subscales measuring (a) self‐importance, (b) interpersonal grandiosity, (c) inappropriate spending, (d) excitement and risk‐taking, (e) interpersonal frustrations, (f) goal‐driven activity, and (g) past or future outlooks on life, and also yields a total score.Results:The mean CCL‐M total score of the bipolar‐manic patients was significantly higher than the mean CCL‐M total score of the unipolar‐depressed patients, and the patients’ mean CCL‐M total score was also higher than that of the normal adults. The mean scores of the subscales measuring excitement and past and future memories and expectations were also significantly higher for the bipolar‐manic than unipolar‐depressed patients.Conclusions:Bipolar‐manic patients endorse with maladaptive beliefs and cognitions that are associated with mania more than do unipolar‐depressed patients and normal adults. The implications for the early identification of cognitions associated with prodromal states of mania, and for psychotherapeutic interventions, are discussed.