Cognitive/personality subtypes of depression: Theories in search of disorders
Cognitive/personality subtypes of depression: Theories in search of disorders
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DOI：
10.1023/a:1021870315058
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发表时间：
1997-06-01
影响因子：
2.8
通讯作者：
Hogan, ME
中科院分区：
文献类型：
--
作者：
Abramson, LY;Alloy, LB;Hogan, ME
作为对临床和定量方法的补充，最近一些研究者采取了基于理论的方法，并假设存在三种认知/人格亚型：绝望抑郁症（HD），依赖/社会性抑郁症（D/S Dep）和自我批评/自主抑郁症（S-C/A Dep）。我们描述和比较这些假设的亚型。在这样做的过程中，我们提出了我们正在进行的抑郁症认知脆弱性（CVD）项目的新发现。从我们的CVD项目的概念分析和初步的实证结果表明，HD重叠，部分，与D/S Dep和S-C/A Dep。然而，这种关系似乎并不像人际领域中的HD易感性直接映射到D/S Dep或成就领域中的HD易感性直接映射到S-C/A Dep那样简单。我们确定并讨论了需要解决的三个关键问题，以进行更强大的搜索HD，D/S Dep和S-C/A Dep：（1）指定脆弱性和压力之间的一致性的问题;（2）令人惊讶的脆弱性-压力相互作用;（3）超越常见语言的症状定义。最后，我们得出结论，指出对认知/人格亚型的研究具有累积性，并没有屈服于“麦克阿瑟将军综合征”。''
As a complement to clinical and quantitative approaches to subdividing the depressive disorders, some recent researchers have taken a theory-based approach and hypothesized the existence of three cognitive/personality subtypes: Hopelessness Depression (HD), Dependent/Sociotropic Depression (D/S Dep), and Self-Critical/Autonomous Depression (S-C/A Dep). We describe and compare these hypothesized subtypes. In so doing, we present new findings from our ongoing Cognitive Vulnerability to Depression (CVD) project. Conceptual analysis and preliminary empirical results from our CVD project suggest that HD overlaps, in part, with D/S Dep and S-C/A Dep. However the relationship does not appear to be as simple as vulnerability to HD in the interpersonal domain mapping directly on to D/S Dep nor vulnerability to HD in the achievement domain mapping directly on to S-C/A Dep. We identify and discuss three critical issues that need to be addressed to conduct a more powerful search for HD, D/S Dep, and S-C/A Dep: (1) the problem of specifying congruency between vulnerability and stress; (2) surprising vulnerability-stress interactions; and (3) going beyond common language definitions of symptoms. Finally, we conclude by pointing out that research on the cognitive/personality subtypes has a cumulative character and hasn't succumbed to the ''General MacArthur Syndrome.''