Psychosocial processes of remission in unipolar depression: comparing depressed patients with matched community controls.

Psychosocial processes of remission in unipolar depression: comparing depressed patients with matched community controls.
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单相抑郁症缓解的心理社会过程:将抑郁症患者与匹配的社区对照进行比较。

DOI:
10.1037//0022-006x.53.3.314
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发表时间:
1985
影响因子:
5.9
通讯作者:
Moos,RH
Moos,RH
中科院分区:
心理学1区
文献类型:
--
作者:
Billings,AG;Moos,RH

文献摘要

被引文献

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通过检查缓解、部分缓解和未缓解抑郁症患者的个人和社会环境特征,研究单相抑郁症的治疗后阶段。该样本基于对 424 名接受精神治疗的抑郁症患者为期 12 个月的随访,以及对人口统计匹配的非抑郁社区对照进行的类似随访。 98.8% 的 Ss 在 12 个月的随访中定位。分析基于 380 Ss。在随访中,138 名抑郁症状缓解的 Ss 还报告称,他们在其他方面的调整以及个人资源(例如自尊和对治疗后压力源的应对反应)方面都有所改善。相比之下,133 名未豁免的党卫队继续报告在这些领域中的每一个领域都存在缺陷。 124 名 Ss 被归类为部分豁免。缓解的SS的生活压力源和社会资源接近正常水平,而未缓解的SS继续报告压力源增加和支持水平较低。在接受治疗时确定的危险因素可以预测这些 Ss 在随访中的后续结果。这些发现意味着许多成功治疗的抑郁症患者可以恢复接近正常的功能模式,并且缓解与个人和社会背景因素的正常化有关。(34 参考)(PsycINFO 数据库记录 (c) 2016 APA,保留所有权利)
Investigated the posttreatment phase of unipolar depression by examining the personal and social-environmental characteristics of remitted, partially remitted, and nonremitted depressed patients. The sample was based on a 12-mo follow-up of 424 depressed persons who received psychiatric treatment and a comparable follow-up of demographically matched, nondepressed community controls. 98.8% of the Ss were located at 12-mo follow-up. Analyses were based on 380 Ss. At follow-up, the 138 Ss whose depressive symptoms remitted also reported improvement in other aspects of their adjustment as well as in personal resources such as self-esteem and coping responses to posttreatment stressors. In contrast, the 133 nonremitted Ss continued to report deficits in each of these domains. 124 Ss were categorized as partially remitted. Remitted Ss approached normal levels of life stressors and social resources, whereas nonremitted Ss continued to report heightened stressors and lower levels of support. Risk factors identified at treatment intake were predictive of these Ss' subsequent outcome at follow-up. These findings imply that many successfully treated depressed patients can resume near-normal patterns of functioning and that remission is linked to normalization of personal and social context factors.(34 ref)(PsycINFO Database Record (c) 2016 APA, all rights reserved)