FEELINGS OF GUILT IN MAJOR DEPRESSION - CONCEPTUAL AND PSYCHOMETRIC ASPECTS
FEELINGS OF GUILT IN MAJOR DEPRESSION - CONCEPTUAL AND PSYCHOMETRIC ASPECTS
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DOI：
10.1192/bjp.160.6.781
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发表时间：
1992-06-01
影响因子：
10.5
通讯作者：
MITCHELL, SL
中科院分区：
文献类型：
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作者：
BERRIOS, GE;BULBENA, A;MITCHELL, SL
描述了一种评价内疚感的新量表。两种类型的内疚感是潜在的兴趣：“妄想”内疚感或羞耻感（与一个人的行为有关）和“情感性”内疚感（一种更普遍的无价值感）。第一版（15项）量表的信度和效度分析在三个独立和对比的临床样本中进行。第二个也是最后一个版本（七项）在另一个重度抑郁症患者样本和正常对照中进行了测试。HRSD在整个过程中被用作严重程度的衡量标准。BDI和Widlocher精神运动障碍量表也被用作七项量表的外部标准。对该样本进行探索性因素分析，得出两个因素——“认知/态度”和“情绪/感觉”——其中只有第一个因素与精神运动迟缓的得分相关。有人认为，这两个因素代表了两种形式的内疚，但只有前者与假定的多巴胺能障碍有关。内疚得分和严重程度的测量没有相关性。有人建议，内疚感应被视为抑郁症亚型的一种行为标志。
A new scale for the evaluation of feelings of guilt is described. Two types of guilt feeling were of potential interest: 'delusional' guilt or shame (experienced in relation to one's actions), and 'affective' guilt (a more general feeling of unworthiness). Reliability and validity analyses for the first (15-item) version of the scale were performed in three separate and contrasting clinical samples. The second and final (seven-item) version was tested in another sample of major depressives and in normal controls. The HRSD was used as a measure of severity throughout. The BDI and Widlocher psychomotor retardation scale were also used as external criteria for the seven-item scale. Exploratory factor analysis of this sample yielded two factors - 'cognitive/attitudinal' and 'mood/feeling' - of which only the first correlated with scores for psychomotor retardation. It is suggested that these two factors represent two forms of guilt, but that only the former is related to a putative dopaminergic disorder. Guilt scores and measures of severity were not correlated. It is suggested that feelings of guilt should be considered as a behavioural marker for a subtype of depression.