Correlates of analogue and clinical depression: a further test of the phenomenological continuity hypothesis
Correlates of analogue and clinical depression: a further test of the phenomenological continuity hypothesis
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DOI：
10.1016/s0165-0327(00)00305-0
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发表时间：
2001-10-01
影响因子：
6.6
通讯作者：
Borger, SC
中科院分区：
文献类型：
--
作者：
Enns, MW;Cox, BJ;Borger, SC
背景：心理学研究人员使用抑郁量表高分大学生作为抑郁症的类似物引起了争议。类似研究的批评者认为，在模拟和临床样本中，抑郁症在质量上是不同的。目的：对临床和模拟抑郁症的现象学进行进一步的比较，以确定这两组之间的差异是否最好被理解为定量的（与连续性假设一致），还是这些形式的抑郁症在质量上是不同的。方法：本研究将161名重度抑郁症门诊患者与148名“模拟”受试者（贝克抑郁量表得分大于等于9分的大学生）和141名非抑郁对照组进行比较。研究措施包括几个提出的抑郁症的人格脆弱性因素，一种可能导致成人抑郁症的发展经历的衡量标准，以及情绪障碍的家族史。结果：人格脆弱因素比较多。发育经历和家族史信息遵循以下模式：临床组风险最大，模拟组风险中等，非痛苦组风险最低。值得注意的例外包括完美主义的几个方面和一些反映父母过度控制的童年经历，这似乎与模拟抑郁症比临床抑郁症更密切相关。含义：一些人格和发育变量可能代表临床抑郁和模拟抑郁之间不连续性的重要领域，然而，总体结果与越来越多的文献一致，表明阈下抑郁症状和综合征抑郁症之间存在连续性。(C) 2001 Elsevier Science B.V.版权所有
Background: The use of college students with high scores on a depression rating scale as analogues for depression by psychological researchers has generated controversy. Critics of analogue research argue that depression is qualitatively different in analogue and clinical samples, Objective: To conduct a further comparison of the phenomenology of clinical and analogue depression to determine if the differences between these groups are best understood as quantitative (consistent with the continuity hypothesis) or whether these forms of depression are qualitatively distinct. Method: This study compared 161 outpatients with major depressive disorder to 148 'analogue' subjects (college students with a Beck Depression Inventory score greater than or equal to 9) and 141 non-distressed controls. Study measures included several proposed personality vulnerability factors for depression, a measure of developmental experiences that may confer vulnerability to adult depression, and family history of emotional disorders. Results: Most comparisons of personality vulnerability factors. developmental experiences and family history information followed a pattern of greatest risk in the clinical group, intermediate risk in the analogue group and lowest risk in the non-distressed group. Noteworthy exceptions included several aspects of perfectionism and a number of childhood experiences reflecting parental over-control, which appeared to be more strongly associated with analogue depression than clinical depression. Implications: Several personality and developmental variables could represent important areas of discontinuity between clinical and analogue depression, However, the overall results were consistent with a growing body of literature suggesting continuity between subthreshold depression symptoms and syndromal depression. (C) 2001 Elsevier Science B.V. All rights reserved.