Personality, Stressful Life Events, and Treatment Response in Major Depression
Personality, Stressful Life Events, and Treatment Response in Major Depression
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DOI：
10.1037/a0017149
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发表时间：
2009-12-01
影响因子：
5.9
通讯作者：
Bagby, R. Michael
中科院分区：
文献类型：
--
作者：
Bulmash, Eric;Harkness, Kate L.;Bagby, R. Michael
本研究探讨了自我批评或依赖性人格特质是否会调节压力性生活事件对治疗反应的影响。抑郁症门诊患者（N = 113）被随机分配到16周的认知行为治疗，人际心理治疗，或抗抑郁药物（ADM）。应激性生活事件采用贝德福德大学生活事件和困难量表进行评估。治疗期间或治疗前报告的严重事件预测ADM条件下的不良反应，但不是在心理治疗条件下。相反，在发病前经历的非严重生活事件预测对治疗的上级反应。此外，自我批评缓和的关系，严重的生活事件的结果，在各种条件下，这样的存在严重的压力，那些高的自我批评不太可能响应治疗比那些低的自我批评。
The current study examined whether the personality traits of self-criticism or dependency moderated the effect of stressful life events on treatment response. Depressed outpatients (N = 113) were randomized to 16 weeks of cognitive-behavioral therapy, interpersonal psychotherapy, or antidepressant medication (ADM). Stressful life events were assessed with the Bedford College Life Events and Difficulties Schedule. Severe events reported during or immediately prior to treatment predicted poor response in the ADM condition but not in the psychotherapy conditions. In contrast, nonsevere life events experienced prior to onset predicted superior response to treatment. Further, self-criticism moderated the relation of severe life events to outcome across conditions, such that in the presence of severe stress those high in self-criticism were less likely to respond to treatment than were those low in self-criticism.