Modeling relapse in unipolar depression: The effects of dysfunctional cognitions and personality disorders
Modeling relapse in unipolar depression: The effects of dysfunctional cognitions and personality disorders
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DOI：
10.1037/0022-006x.65.3.381
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发表时间：
1997-06-01
影响因子：
5.9
通讯作者：
Evans, DD
中科院分区：
文献类型：
--
作者：
Ilardi, SS;Craighead, WE;Evans, DD
使用生存分析模型来确定 Axis IT 病理学和认知功能障碍对 50 名抑郁症住院患者样本的抑郁复发的影响，并在出院后 33 至 84 个月 (M = 49.9) 进行随访。在基于随访访谈测量的分析中，无人格障碍患者的预期缓解持续时间比患有 Axis II 合并症的患者长约 7.4 倍。归因风格也解释了复发模型中的独特方差，适应性积极事件归因与复发概率成反比。功能失调的态度和负面事件归因都与复发没有显着相关。维度轴 II B 组和 C 组病理评分与生存时间缩短相关，而 A 组病理评分与生存时间延长相关。在指标住院期间获得的测量结果中，只有 Axis II 病理学的维度评级具有显着预测性，满足每个 Axis II 标准项目的预期生存率累计下降 8%。
Survival analytic models were used to determine the effects of Axis IT pathology and dysfunctional cognitions on depressive relapse in a sample of 50 depressed inpatients followed 33 to 84 months (M = 49.9) postdischarge. In analyses based on follow-up interview measures, expected remission duration among patients without personality disorders was approximately 7.4 times longer than among patients with Axis II comorbidity. Attributional style also accounted for unique variance in the relapse model, with adaptive positive event attributions inversely related to relapse probability. Neither dysfunctional attitudes nor negative event attributions were significantly related to relapse. Dimensional Axis II Cluster B and C pathology ratings were associated with decreased survival time, whereas Cluster A pathology was associated with increased survival. Among measures obtained during index hospitalization, only the dimensional rating of Axis II pathology was significantly predictive, with a cumulative 8% decrease in expected survival for each Axis II criterion item met.