Dysphoria: self-devaluative and affective components in recovered depressed patients and never depressed controls
Dysphoria: self-devaluative and affective components in recovered depressed patients and never depressed controls
复制标题
烦躁不安：康复的抑郁症患者和从未抑郁过的对照组的自我贬低和情感成分
作者：
J. Teasdale;S. Cox
背景对抑郁症认知脆弱性的相互作用认知子系统分析预测，抑郁症康复患者的烦躁不安的主观体验将与对照组有质的不同。这项研究使用一种新的工具--抑郁状态检查表来检验这一预测。方法. 23名康复的复发性抑郁患者和54名从未抑郁过的对照组对烦躁经历中的情感和自我贬低成分进行了评估。结果两组患者的情感成分水平相似，但恢复期抑郁症患者的自我贬低性烦躁体验更高。在烦躁情绪的情感成分为零时，两组都没有报告任何自我贬低的感觉。随着烦躁情绪成分的增加，康复患者的自我贬低成分比对照组显著增加。烦躁不安的自我贬低成分与情感成分的比例显着区分了康复的抑郁症患者与对照组。结论.正如预测的那样，抑郁症康复患者的烦躁不安在增加重性抑郁症易感性方面与对照组有质的不同。抑郁状态检查表是一种新的，简短的，对抑郁症的认知脆弱性的测量，在大型，前瞻性，流行病学研究中可能特别有用。
Background. The Interacting Cognitive Subsystems analysis of cognitive vulnerability to depression predicts that subjective experiences of dysphoria in recovered depressed patients will be qualitatively different from those of controls. This study tested this prediction using a new instrument, the Depressed States Checklist. Methods. Twenty-three recovered recurrently depressed patients and 54 never depressed controls rated the affective and self-devaluative components of a dysphoric experience. Results. Groups reported similar levels of affective component but recovered depressed patients reported higher self-devaluative dysphoric experience. At zero affective component of dysphoria neither group reported any self-devaluative feelings. With increasing affective component of dysphoria, the self-devaluative component increased significantly more in recovered patients than in controls. The ratio of self-devaluative to affective components of dysphoria significantly differentiated recovered depressed patients from controls. Conclusions. As predicted, dysphoria in recovered depressed patients is qualitatively different from controls in ways that increase vulnerability to major depression. The Depressed States Checklist is a new, brief, measure of cognitive vulnerability to depression that may be particularly useful in large, prospective, epidemiological studies.
影响因子：
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作者：
R. Spitzer;Janet B W Williams;M. Gibbon;M. First
通讯作者：
R. Spitzer;Janet B W Williams;M. Gibbon;M. First