The capacity for mentalization in depressive patients: A pilot study
The capacity for mentalization in depressive patients: A pilot study
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DOI：
10.13109/zptm.2008.54.4.368
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发表时间：
2008-01-01
影响因子：
0.9
通讯作者：
Springer-Kremser, Marianne
中科院分区：
文献类型：
--
作者：
Fischer-Kern, Melitta;Tmej, Anna;Springer-Kremser, Marianne
目的：心理化在边缘型人格障碍中的作用已被初步研究。本研究首先介绍了心理化概念的理论背景和以往的研究成果，并对抑郁症患者的心理化进行了初步的研究。其次，我们报告了这项试点研究的结果。采用SKIDI + Ⅱ抑郁量表对20例女性抑郁症患者进行调查（HAM-D，BDI），认知测试（TMT，MCVCT）和成人依恋访谈（AAI），根据反射功能量表进行评级（射频标度）。结果：抑郁症患者的心智化能力较低（RF = 2.3）比临界患者（RF类似于3）和健康个体（RF类似于5）。与依赖型人格障碍的共病与较高的RF scores相关，而与类抑郁型人格障碍的共病与较低的RF scores.Conclusions：中度至重度抑郁症去沿着精神能力的崩溃，进一步的研究应集中在油调查的精神化能力的缓解和心理治疗过程中的变化。
Objectives: Mentalization has been primarily investigated in Borderline Personality Disorders. This pilot Study takes the first step toward investigating mentalization in depressive patients.Methods: First, we present the theoretical background of the concept of mentalization and previous Studies. Secondly, we report the results Of this pilot study. 20 female inpatients suffering from Major Depressive Disorder were investigated with SKIDI+II, depression-scales (HAM-D, BDI), cognitive tests (TMT, MCVCT), and the Adult Attachment Interview (AAI), rated according to the Reflective Functioning Scale (RF Scale).Results: Depressed patients showed less capacity for mentalization (RF = 2.3) than did borderline patients (RF similar to 3) and healthy individuals (RF similar to 5). Comorbidity with dependent personality disorder correlated with higher RF scores, while comorbidity with schizoid personality disorder correlated with lower RF scores.Conclusions: Moderate to severe depression goes along with a breakdown of mental capacity, Further research should focus Oil investigating changes in the capacity for mentalization in remission and changes in the course of psychotherapeutic treatments.