Dependency and self-criticism in bipolar and unipolar depressed women.
Dependency and self-criticism in bipolar and unipolar depressed women.
复制标题
双相和单相抑郁女性的依赖性和自我批评。
DOI：
10.1111/j.2044-8260.1998.tb01398.x
复制
发表时间：
1998
期刊：
影响因子：
--
通讯作者：
Mintz,J
中科院分区：
文献类型：
--
作者：
Rosenfarb,IS;Becker,J;Khan,A;Mintz,J
目标。对有单极障碍病史（N= 74）、双相障碍病史（N= 20）或无精神病史（N= 24）的女性进行依赖性和自我批评评分比较，以确定状态抑郁对这些人格维度的影响。所有的女性都完成了抑郁经历问卷和贝克抑郁量表。患者分为当前抑郁组和缓解组。目前患有单极障碍的抑郁女性比非精神病学对照组的自我批评和依赖程度更高；抑郁症得到缓解的单极障碍女性更多的是自我批评。抑郁症和躁郁症缓解组的女性都比对照组的女性更自我批评。抑郁双相患者的依赖程度与对照组没有差异；缓解的双相患者的依赖性明显低于对照组。抑郁女性的依赖需求受到情绪状态的严重影响。自我批评似乎是重度抑郁症和双相情感障碍的特征。双相情感障碍缓解期的妇女报告的依赖需求比没有精神障碍病史的妇女少。这些数据部分支持了Blatt（1974）的假设，即依赖和自我批评反映了情绪障碍患者相对稳定的人格维度。
Objectives. The dependency and self‐criticism scores of women with histories of either unipolar disorder (N= 74) or bipolar disorder (N= 20) or no psychiatric history (N= 24) were compared to determine the influence of state depression on these personality dimensions.Design. All women completed the Depressive Experiences Questionnaire and the Beck Depression Inventory. Patients were divided into currently depressed and remitted groups.Results. Currently depressed women with unipolar disorder were more self‐critical and dependent than non‐psychiatric controls; women with unipolar disorder whose depression remitted were more self‐critical only. Women in both the depressed and remitted bipolar groups were more self‐critical than controls. Depressed bipolar patients did not differ from the controls in their level of dependency; remitted bipolar patients were significantly less dependent than controls.Conclusions. Dependency needs in depressed women are heavily influenced by mood state. Self‐criticism appears to be a characterological trait in both major depression and bipolar disorder. Women with bipolar disorder in remission report fewer dependency needs than women with no history of psychiatric disorder. The data provide partial support for Blatt's (1974) hypothesis that dependency and self‐criticism reflect relatively stable personality dimensions in patients with a mood disorder.