ANALYSIS OF OBSERVED BEHAVIORS DISPLAYED BY DEPRESSED-PATIENTS DURING A CLINICAL INTERVIEW - RELATIONSHIPS BETWEEN BEHAVIORAL-FACTORS AND CLINICAL CONCEPTS OF ACTIVATION

ANALYSIS OF OBSERVED BEHAVIORS DISPLAYED BY DEPRESSED-PATIENTS DURING A CLINICAL INTERVIEW - RELATIONSHIPS BETWEEN BEHAVIORAL-FACTORS AND CLINICAL CONCEPTS OF ACTIVATION
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DOI:
10.1016/0165-0327(91)90053-u
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发表时间:
1991-02-01
影响因子:
6.6
通讯作者:
VANDENHOOFDAKKER, RH
VANDENHOOFDAKKER, RH
中科院分区:
医学2区
文献类型:
--
作者:
BOUHUYS, AL;JANSEN, CJ;VANDENHOOFDAKKER, RH

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在61例无药物抑郁症患者中,研究了观察到的行为和常见的临床概念的激活措施之间的关系。在临床访谈中观察这些行为,并采用行为学方法进行分析。通过自我评定(Thayer,AD-ACL)和整体判断(汉密尔顿,迟缓,激越)评估激活。记录并分析患者说话和倾听行为的各个方面,例如看,头部运动,点头和不摇晃,腿部运动,手势以及身体和物体触摸。因子分析,使分组的行为,而不使用先验的概念。五个因素反映了谈话的不同方面:不安(腿和手的运动),讲话,积极倾听(头部运动和密集的身体接触,在听的过程中),说话的努力(看,打手势,头部运动,在说话过程中),和渴望(是的,点头和不摇晃)。显着的正相关关系被发现之间的言语因素,说话的努力因素和不安因素,一方面,和激活的其他。渴望因子与激活呈负相关。这些结果让我们深入了解面试过程中的行为组织,并展示了这与激活的临床概念之间的关系。
In 61 drug-free depressed patients, relationships were studied between observed behaviors and measures of common clinical concepts of activation. The behaviors were observed during a clinical interview and analyzed with ethological methods. Activation was assessed by means of self-ratings (Thayer, AD-ACL) and global judgment (Hamilton, retardation, agitation). Various aspects of patients' speaking and listening behaviors were recorded and analyzed, such as looking, head movements, yes-nodding and no-shaking, leg movements, gesturing, and body and object touching. A factor analysis was applied, enabling grouping of behaviors without using a priori concepts. Five factors reflected different aspects of a conversation: restlessness (leg and hand movements), speech, active listening (head movements and intensive body touching, during listening), speaking effort (looking, gesticulating, head movements, during speaking), and eagerness (yes-nodding and no-shaking). Significant positive relationships were found between the speech factor, the speaking effort factor and the restlessness factor on the one hand, and activation on the other. The eagerness factor was related negatively with activation. The results give insight into the organization of behavior during an interview, and show how this is related to clinical concepts of activation.