Reports of the childhood home environment in early-onset dysthymia and episodic major depression.
Reports of the childhood home environment in early-onset dysthymia and episodic major depression.
复制标题
关于早发性心境恶劣和阵发性重度抑郁症的童年家庭环境的报告。
DOI：
10.1037//0021-843x.104.1.132
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发表时间：
1995
影响因子：
4.6
通讯作者：
Donaldson,SK
中科院分区：
文献类型：
--
作者：
Lizardi,H;Klein,DN;Ouimette,PC;Riso,LP;Anderson,RL;Donaldson,SK
本研究解决了两个问题：(a)早发性心境恶劣是否与儿童家庭环境紊乱的报告有关；(b)不良的早期经历能否至少部分地解释心境恶劣和重度抑郁症的不同临床表现？参与者包括97名早发性心境恶劣的门诊患者，45名发作性重度抑郁症门诊患者和45名正常对照。早期家庭环境的评估是盲诊断使用访谈和自我报告的措施。与正常对照组相比，早发性精神障碍患者报告了更多的身体虐待和性虐待，与父母双方的关系也更差。此外，据报道，与患有发作性重度抑郁症的患者相比，患有心境恶劣的患者接受的父母教育明显更差。结果不能用情绪状态的影响、与边缘型和反社会型人格障碍的合并症或与重度抑郁症的合并症来解释。
This study addressed 2 questions:(a) is early-onset dysthymia associated with reports of a disturbed childhood home environment; and (b) can adverse early experiences account, at least in part, for the differing clinical presentations of dysthymia and major depression? Participants included 97 outpatients with early-onset dysthymia, 45 outpatients with episodic major depression, and 45 normal controls. The early home environment was assessed blind to diagnosis using both interview and self-report measures. Early-onset dysthymia patients reported significantly more physical and sexual abuse and poorer relationship with both parents than normal controls. In addition, patients with dysthymia reported having received significantly poorer parenting than those with episodic major depression. The results could not be accounted for by mood state effects, comorbidity with borderline and antisocial personality disorder, or comorbid major depression.