CLINICAL AND PSYCHOSOCIAL ORIGINS OF CHRONIC DEPRESSIVE EPISODES .1. A COMMUNITY SURVEY
CLINICAL AND PSYCHOSOCIAL ORIGINS OF CHRONIC DEPRESSIVE EPISODES .1. A COMMUNITY SURVEY
复制标题
DOI：
10.1192/bjp.165.4.447
复制
发表时间：
1994-10-01
影响因子：
10.5
通讯作者：
MORAN, P
中科院分区：
文献类型：
--
作者：
BROWN, GW;MORAN, P
背景我们考虑在多大程度上有可能从发病时的社会心理和临床资料中预测抑郁症的慢性病程。一项人口调查发现，居住在伦敦市中心的404名工薪阶层母亲。大多数人在三年内接受了三次采访。结果。慢性（超过12个月的持续时间）与儿童时期的逆境（父母冷漠，家庭暴力或任何性虐待）和目前的成人人际关系困难密切相关。在发作过程中缺乏积极事件也与慢性化独立相关，但程度较低。与心理社会因素相比，临床特征相对不重要。结论。儿童期的风险因素是特别重要的（通过路径分析判断），未来研究的一个挑战将是建立与此远端链接所涉及的干预过程。
Background. We consider how far it is possible to predict a chronic course of a depressive disorder from psychosocial and clinical material available at the point of onset.Method. A population survey found 404 working-class mothers living in an inner-city area of London. The majority were interviewed three times over a 3-year period.Results. Chronicity (more than 12 months' duration) was strongly related to both childhood adversity (parental indifference, family violence or any sexual abuse) and current adult interpersonal difficulties. The lack of positive events during the course of the episode was also independently related to chronicity, but to a lesser degree. Clinical characteristics were relatively unimportant compared with psychosocial factors.Conclusions. The childhood risk factors were particularly important (judged by a path analysis), and a challenge for future research will be to establish the intervening processes involved with this distal link.