LOSS, HUMILIATION AND ENTRAPMENT AMONG WOMEN DEVELOPING DEPRESSION - A PATIENT AND NONPATIENT COMPARISON

LOSS, HUMILIATION AND ENTRAPMENT AMONG WOMEN DEVELOPING DEPRESSION - A PATIENT AND NONPATIENT COMPARISON
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DOI:
10.1017/s003329170002804x
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发表时间:
1995-01-01
影响因子:
6.9
通讯作者:
HEPWORTH, C
HEPWORTH, C
中科院分区:
医学1区
文献类型:
--
作者:
BROWN, GW;HARRIS, TO;HEPWORTH, C

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本文是关于生活事件在抑郁症发病中的作用的系列文章的一部分。在伦敦北部的伊斯灵顿,一般人群样本中出现抑郁症的妇女与同一地区的国家卫生服务中心治疗的一系列抑郁症患者进行对比。后者的调查结果证实了严重威胁挑衅事件的发病中的大多数抑郁症女性患者的重要性。这两个系列的结果是相似的,除了一小部分患者的特点是一个精神病/精神病的条件与以前epission.The严重的事件的重要性已经认识到了一段时间的传统评级的生活事件和困难的时间表(LEDS)。然而,除了现有的损失或危险衡量标准之外,已利用LEDS收集的全部描述性材料制定了一项新的精确衡量标准,反映在严重威胁事件后羞辱感和被困感的可能性。在患者和非患者系列中,羞辱和诱捕的经历在引发抑郁方面都很重要。事实证明,与没有羞辱或诱捕的损失或危险经历相比,它与抑郁症的风险更大。
This paper is part of a series dealing with the role of life events in the onset of depressive disorders. Women who developed depression in a general population sample in Islington in North London are contrasted with a National Health Service-treated series of depressed patients in the same area. Findings among the latter confirm the importance of a severely threatening provoking event for onset among the majority of depressed women patients. The results for the two series are similar except for a small subgroup of patients characterized by a melancholic/psychotic condition with a prior episode.The severe events of importance have been recognized for some time by the traditional ratings of the Life Events and Difficulty Schedule (LEDS). However, the full descriptive material collected by the LEDS has been used to develop a new refined measure reflecting the likelihood of feelings of humiliation and being trapped following a severely threatening event, in addition to existing measures of loss or danger. The experience of humiliation and entrapment was important in provoking depression in both the patient and non-patient series. It proved to be associated with a far greater risk of depression than the experience of loss or danger without humiliation or entrapment.