Abstract:
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 > or =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.
journal_name
J Affect Disordjournal_title
Journal of affective disordersauthors
Enns MW,Cox BJ,Borger SCdoi
10.1016/s0165-0327(00)00305-0subject
Has Abstractpub_date
2001-10-01 00:00:00pages
175-83issue
2-3eissn
0165-0327issn
1573-2517pii
S0165032700003050journal_volume
66pub_type
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journal_title:Journal of affective disorders
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journal_title:Journal of affective disorders
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pub_type: 杂志文章
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journal_title:Journal of affective disorders
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journal_title:Journal of affective disorders
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of affective disorders
pub_type: 杂志文章
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更新日期:2006-10-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1016/0165-0327(91)90059-2
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