Cognitive-personality characteristics as direct predictors of unipolar major depression
Cognitive-personality characteristics as direct predictors of unipolar major depression
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DOI：
10.1023/a:1026424126287
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发表时间：
2001-04-01
影响因子：
2.8
通讯作者：
Bruce, ML
中科院分区：
文献类型：
--
作者：
Mazure, CM;Raghavan, C;Bruce, ML
越来越多的证据表明，多种危险因素可直接导致抑郁症。目前的工作以 43 名 DSM-IV 单相重性抑郁患者和 43 名非抑郁社区对照为样本，探讨了社会倾向自主性认知人格特征与抑郁之间的直接关系。对照组与年龄、种族和性别的病例相匹配，所有分析都控制了不良生活事件和社会经济地位的影响。社会倾向（即对反对的担忧）和自主性（即对控制的需求）的特定子量表是抑郁状态的有力预测因子，与压力生活事件的发生无关。研究结果表明，检查认知人格特征作为抑郁症的直接预测因素仍然有用，并且这些认知人格风格的核心特征可能比全球指数更好地衡量抑郁脆弱性。
Increasing evidence indicates that multiple risk factors can contribute directly to depression. The current work explores the direct relationships between the cognitive-personality characteristics of sociotropy-autonomy and depression in a sample of 43 patients with DSM-IV unipolar major depression and 43 nondepressed community controls. Controls were matched to cases on age, race, and sex, and all analyses controlled for the effects of adverse life events and socioeconomic status. Specific subscales of sociotropy (i.e., concern about disapproval) and autonomy (i.e., need for control) were strong predictors of depressive status independent of the occurrence of stressful life events. Findings indicate that it remains useful to examine cognitive-personality characteristics as direct predictors of depression, and that core features of these cognitive-personality styles are likely to provide a better measure of depressive vulnerability than are global indices.