[敌意是抑郁症中依恋障碍的表现]
S N Enikolopov1, O Yu Vorontsova1, T I Medvedeva1
1Mental Health Research Center, Moscow, Russia.
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
|December 21, 2023
概括
敌意和侵略性随着严重的抑郁症而增加. 这些症状与患有抑郁症的患者早期的关系问题,焦虑的依恋,自恋病理和情绪调节问题有关.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 临床心理学 临床心理学
- 心理健康研究 心理健康研究
背景情况:
- 内生抑郁症是一种严重的心理健康状况.
- 了解抑郁症的心理基础对于有效治疗至关重要.
- 敌意和依恋模式是影响抑郁障碍的潜在因素.
研究的目的:
- 在被诊断为内源性抑郁症的患者中调查敌意和依恋障碍之间的关系.
- 确定与抑郁症中的敌意相关的特定依恋和人格因素.
主要方法:
- 这项研究涉及49名被诊断患有抑郁症的患者.
- 参与者填写了验证的调查问卷,评估了抑郁症 (SCL-90R,HDRS-17),侵略性 (Buss-Perry攻击性调查问卷) 和依恋经历 (ECR-R).
- 包括Ich-Struktur-Test nach Ammon在内的心理测试被用于全面评估.
主要成果:
- 较高的抑郁水平与增加的敌意,破坏性侵略和赤字侵略有显著的相关性.
- 抑郁症的严重程度与焦虑的依恋,病态的自恋和自我界限问题有关.
- 回归模型表明,人际敏感性,避免依恋和自恋特征显著预测了抑郁和敌意水平.
结论:
- 严重的抑郁症状与敌意的增加有关.
- 抑郁症中的敌意与早期的人际关系障碍有关,特别是焦虑的依恋,导致敏感度增加,并感知到来自环境的敌意.
- 自恋病理和情绪调节困难是导致抑郁障碍敌意的重要因素.
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