TYPES OF STRESSFUL LIFE EVENT AND THE ONSET OF ANXIETY AND DEPRESSIVE-DISORDERS
TYPES OF STRESSFUL LIFE EVENT AND THE ONSET OF ANXIETY AND DEPRESSIVE-DISORDERS
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DOI：
10.1017/s0033291700041301
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发表时间：
1981-01-01
影响因子：
6.9
通讯作者：
BROWN, GW
中科院分区：
文献类型：
--
作者：
FINLAYJONES, R;BROWN, GW
损失和危险的概念进行了简要说明。在伦敦和堪培拉的两组评分员被证明是可靠的，在评级的损失程度和危险程度与样本的生活事件，以前被评为"严重"的长期威胁的背景措施。这些生活事件是由164名在伦敦接受全科医生治疗的年轻女性报告的。一名精神病医生使用现状检查对这些妇女进行了访谈。他们的精神症状由一组不了解年轻女性报告的生活事件的评估者进行评估。三种类型的精神疾病的情况下，最近发作的诊断：抑郁症，焦虑症和混合抑郁症/焦虑症。这三种类型的情况下，发生在他们的疾病发作前一年的生活事件报告的频率与事件的频率在同一时间段内报告的一组妇女没有严重的精神疾病。结果被用来认为，严重的损失是抑郁症的发病和严重的危险是在这个样本中的焦虑状态的发病的一个原因代理。混合抑郁/焦虑的病例更有可能在发病前报告严重的损失和严重的危险。这支持了在抑郁症分类中识别一组独特的混合性障碍的论点。
The notions of loss and danger are briefly described. Two groups of raters in London and Canberra were shown to be reliable in rating the degree of loss and the degree of danger associated with a sample of life events previously rated as ‘severe’ on a contextual measure of long-term threat. The life events were reported by 164 young women attending a general practitioner in London. The women were interviewed by a psychiatrist using the Present State Examination. Their psychiatric symptoms were rated by a team of raters who were ignorant of the life events reported by the young women. Three types of cases of psychiatric disorder of recent onset were diagnosed: depression, anxiety, and mixed depression/anxiety. The frequency of life events reported by these three types of cases as occurring in the year before the onset of their disorder was compared with the frequency of events in the same time period reported by a group of women without severe psychiatric disorder. The results were used to argue that severe loss was a causal agent in the onset of depressive disorder and severe danger was a causal agent in the onset of anxiety states in this sample. Cases of mixed depression/anxiety were more likely to report both a severe loss and a severe danger before onset. This supported the argument for recognizing a distinct group of mixed disorders in the classification of depressive illnesses.