Accuracy of Hospitalized Depressed Patients' and Healthy Controls' Retrospective Symptom Reports An Experience Sampling Study
Accuracy of Hospitalized Depressed Patients' and Healthy Controls' Retrospective Symptom Reports An Experience Sampling Study
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DOI：
10.1097/nmd.0b013e3181d6141f
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发表时间：
2010-04-01
影响因子：
1.9
通讯作者：
Young, Michael A.
中科院分区：
文献类型：
--
作者：
Ben-Zeev, Dror;Young, Michael A.
越来越多的文献表明，精神病症状的回顾性回忆往往是不准确的，可能会扭曲有关疾病过程的知识并影响治疗。当前的研究检查了住院抑郁症患者和非临床对照中各种抑郁症状回顾性回忆的准确性。使用经验抽样方法，我们比较了平均1周的瞬时症状报告，同期的回顾性总结。抑郁组在回忆快感缺乏、悲伤、困惑和自杀倾向时表现出负偏差，但在回忆无助、分离和自我控制时相对准确。对照组表现出不同的模式，他们在回顾性回忆的混乱，自杀和悲伤是相对准确的，但表现出积极的偏见回忆快感缺乏，无助，分离，自我控制。两组人在回忆经历过的紧张、难以集中注意力、内疚和恐惧时都表现出了相当的负面偏见。研究结果表明，为了最大限度地准确评估抑郁症状，科学家和从业者应该补充回顾性自我报告与瞬时措施，并考虑在抑郁症的认知行为治疗中使用动态评估。
A growing body of literature suggests that retrospective recall of psychiatric symptoms is often inaccurate and may distort knowledge about the course of illness and impact treatment. The current study examined the accuracy of retrospective recall of a variety of depressive symptoms in hospitalized depressed patients and nonclinical controls. Using the Experience Sampling Method, we compared average momentary symptom reports of 1 week to retrospective summaries of the same period. The depressed group exhibited negative biases in their recall of experienced anhedonia, sadness, confusion, and suicidality, but were relatively accurate in recall of helplessness, detachment, and self-control. Controls exhibited a different pattern; they were relatively accurate in their retrospective recall of confusion, suicidality and sadness, but exhibited positive biases in recall of anhedonia, helplessness, detachment, and self-control. Both groups exhibited comparable negative biases in their recall of experienced tension, difficulty concentrating, guilt, and fear. The findings suggest that for maximum accuracy in the assessment of depressive symptoms, scientists and practitioners should supplement retrospective self-reports with momentary measures, and consider using ambulatory assessment in cognitive behavioral treatments of depression.