Personality and depression: explanatory models and review of the evidence.

Personality and depression: explanatory models and review of the evidence.
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DOI:
10.1146/annurev-clinpsy-032210-104540
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发表时间:
2011
影响因子:
18.4
通讯作者:
Bufferd SJ
Bufferd SJ
中科院分区:
心理学1区
文献类型:
--
作者:
Klein DN;Kotov R;Bufferd SJ

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了解个性和抑郁之间的联系对于阐明病因和共病、识别高危个体和定制治疗具有重要意义。我们讨论了已提出的解释人格与抑郁之间关系的七个主要模型,并回顾了关键的方法论问题,包括研究设计、情绪障碍的异质性和人格评估。然后,我们有选择地回顾了大量关于人格特征在成人和儿童抑郁中的作用的实证文献。目前的证据表明,抑郁症与神经质/消极情绪性、外向性/积极情绪性和责任心等特征有关。此外,人格特征似乎通过多种途径对抑郁症的发病和病程起到了作用。讨论了预防和预测治疗反应的意义,以及指导未来人格与抑郁关系研究的具体考虑。
Understanding the association between personality and depression has implications for elucidating etiology and comorbidity, identifying at-risk individuals, and tailoring treatment. We discuss seven major models that have been proposed to explain the relation between personality and depression, and we review key methodological issues, including study design, the heterogeneity of mood disorders, and the assessment of personality. We then selectively review the extensive empirical literature on the role of personality traits in depression in adults and children. Current evidence suggests that depression is linked to traits such as neuroticism/negative emotionality, extraversion/positive emotionality, and conscientiousness. Moreover, personality characteristics appear to contribute to the onset and course of depression through a variety of pathways. Implications for prevention and prediction of treatment response are discussed, as well as specific considerations to guide future research on the relation between personality and depression.
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