EMOTION, SOCIAL SUPPORT & THE COURSE OF MAJOR DEPRESSION

情感、社会支持

• 批准号: 2708739
• 负责人: MICHAEL A FRIEDMAN
• 金额: $ 2.73万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-01-15 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/2708739
• 关键词: clinical research; dyadic interaction; emotions; human subject; interview; longitudinal human study; major depression; marriage /marital status; relapse /recurrence; social support network; spouses

DESCRIPTION (Applicant's abstract): This investigation will utilize a prospective design to examine the impact of spousal expressed emotion (i.e., critical, hostile attitudes towards an identified patient by a spouse) and spousal support (i.e., constructive, helpful attitudes and behaviors towards an identified patient by a spouse) on the course of major depression. While expressed emotion has been hypothesized to be associated with a poorer course of depression, results studying this relation have been mixed. One possible reason for the inconsistent findings is that expressed emotion has been studied independent of other aspects of the marital relationship, such as spousal support. However, recent social support research suggests that spousal criticism and support are independent aspects of marital functioning, not simply two poles of a common underlying latent variable, and have differential effects on psychological distress. Currently, the relation between spousal expressed emotion and support, and their independent and interactive effect on the course of major depression, has not been studied. Developing a better understanding of the relation between spousal expressed emotion and support, and the course of depression would have direct implications for the treatment and prevention of this disorder. The current proposal will examine the effects of spousal expressed emotion and support using a naturalistic, prospective design. One hundred patients will be recruited during an episode of major depression. Symptom patterns will be assessed initially at baseline, and again at a 9-month follow-up, utilizing self-report and interview-based measures. Spousal expressed emotion and support will be assessed using comprehensive interview-based and self-report measures at baseline. Analyses will address three main study goals. First, this study will examine whether spousal expressed emotion and support are actually independent constructs, or rather two poles of a common underlying latent variable. Second, we will determine the independent impact of both spousal expressed emotion and support on the course of major depression. Finally, we will investigate the interactive relation between these constructs, particularly whether spousal support buffers the effects of expressed emotion on the course of depression.

描述（申请人摘要）：本研究将使用 前瞻性设计以检查配偶表达的情感的影响（即， 配偶对已确定的患者持批评、敌对态度）， 配偶赡养费（即，建设性的，有益的态度和行为， 由配偶确定的患者）在重度抑郁症的过程中。 而 表达的情绪被假设与一个更贫穷的人有关。 在抑郁症的过程中，研究这种关系的结果好坏参半。 一 研究结果不一致的可能原因是，表达的情绪 独立于婚姻关系的其他方面进行研究，例如 作为配偶赡养费 然而，最近的社会支持研究表明， 配偶的批评和支持是婚姻的独立方面 功能，而不仅仅是一个共同的潜在变量的两极， 并对心理困扰产生不同的影响。 目前 配偶情感表达与支持的关系 在抑郁症病程中的独立和交互作用， 没有被研究过。 更好地理解与 配偶表达情感和支持，抑郁症的过程会 对这种疾病的治疗和预防有直接的影响。 目前的提案将研究配偶表达情感的影响 并支持使用自然主义的前瞻性设计。 一百个病人 会在重度抑郁症发作时被招募 症状模式 将在基线时进行初始评估，并在9个月随访时再次进行评估， 利用自我报告和访谈为基础的措施。 配偶表示 情感和支持将使用全面的基于访谈的评估， 基线时的自我报告测量。 分析将涉及三项主要研究 目标. 首先，本研究将考察配偶是否表达了情感， 支持实际上是独立的结构，或者说是公共结构的两极 潜在变量 其次，我们将确定独立的 配偶情感表达和支持对专业课程的影响 萧条 最后，我们将探讨的互动关系， 这些概念，特别是配偶的支持是否缓冲了这种影响， 情绪表达的变化。