Abstract:
BACKGROUND:Previous studies support Beck's cognitive model of vulnerability to depression. However, the relationship between his cognitive triad and other clinical features and risk factors among those with major depression (MD) has rarely been systematically studied. METHOD:The three key cognitive symptoms of worthlessness, hopelessness and helplessness were assessed during their lifetime worst episode in 1970 Han Chinese women with recurrent MD. Diagnostic and other risk factor information was assessed at personal interview. Odds ratios (ORs) were calculated by logistic regression. RESULTS:Compared to patients who did not endorse the cognitive trio, those who did had a greater number of DSM-IV A criteria, more individual depressive symptoms, an earlier age at onset, a greater number of episodes, and were more likely to meet diagnostic criteria for melancholia, postnatal depression, dysthymia and anxiety disorders. Hopelessness was highly related to all the suicidal symptomatology, with ORs ranging from 5.92 to 6.51. Neuroticism, stressful life events (SLEs) and a protective parental rearing style were associated with these cognitive symptoms. CONCLUSIONS:During the worst episode of MD in Han Chinese women, the endorsement of the cognitive trio was associated with a worse course of depression and an increased risk of suicide. Individuals with high levels of neuroticism, many SLEs and high parental protectiveness were at increased risk for these cognitive depressive symptoms. As in Western populations, symptoms of the cognitive trio appear to play a central role in the psychopathology of MD in Chinese women.
journal_name
Psychol Medjournal_title
Psychological medicineauthors
Wang L,Liu L,Shi S,Gao J,Liu Y,Li Y,Zhang Z,Wang G,Zhang K,Tao M,Gao C,Li K,Wang X,Lv L,Jiang G,Wang X,Jia H,Zhang J,Lu C,Li Y,Li K,Hu C,Ning Y,Li Y,Sun J,Liu T,Zhang Y,Ha B,Tian H,Meng H,Hu Jdoi
10.1017/S0033291713000160subject
Has Abstractpub_date
2013-11-01 00:00:00pages
2265-75issue
11eissn
0033-2917issn
1469-8978pii
S0033291713000160journal_volume
43pub_type
杂志文章abstract:BACKGROUND:Although the traditional view of bipolar affective disorder is that the majority of patients have full remission between episodes, recent evidence suggests that residual cognitive deficits are present. The aim of this study was to determine whether memory and executive deficits were present in a well-defined...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291799002664
更新日期:2000-09-01 00:00:00
abstract::Consciousness has evolved and is a feature of all animals with sufficiently complex nervous systems. It is, therefore, primarily a problem for biology, rather than physics. In this review, I will consider three aspects of consciousness: level of consciousness, whether we are awake or in a coma; the contents of conscio...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291719002204
更新日期:2019-09-04 00:00:00
abstract:BACKGROUND:Psychiatric history, familial history of suicide attempts, and certain traumatic life events are important predictors of suicidal thoughts and behaviour. We examined the epidemiology and genetics of suicidality (i.e. reporting persistent suicidal thoughts or a plan or suicide attempt) in a large community-ba...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291798006916
更新日期:1998-07-01 00:00:00
abstract:BACKGROUND:Improving the quality of mental health care requires integrating successful research interventions into 'real-world' practice settings. Coordinated Anxiety Learning and Management (CALM) is a treatment-delivery model for anxiety disorders encountered in primary care. CALM offers cognitive behavioral therapy ...
journal_title:Psychological medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1017/S0033291711002893
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:Affective instability (AI) is poorly defined but considered clinically important. The aim of this study was to examine definitions and measures of AI employed in clinical populations. METHOD:This study was a systematic review using the PRISMA guidelines. MEDLINE, Embase, PsycINFO, PsycArticles and Web of Sc...
journal_title:Psychological medicine
pub_type: 杂志文章,评审
doi:10.1017/S0033291713002407
更新日期:2014-07-01 00:00:00
abstract::Thirty-eight boys, referred for psychiatric treatment because of serious problems of behaviour, underwent a double-blind, placebo-controlled, crossover trial of methylphenidate and placebo. Methylphenidate was an effective treatment over a 3-week period. A good response to methylphenidate was predicted by higher level...
journal_title:Psychological medicine
pub_type: 临床试验,杂志文章
doi:10.1017/s0033291700013039
更新日期:1987-02-01 00:00:00
abstract:BACKGROUND:We examined the prevalence of self-perceived respiratory symptoms (SRS) in the absence of any objective findings of respiratory pathology, and the association of such prevalence with psychological factors and healthcare use in the general population. METHODS:The study was conducted among a nationally repres...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291718000582
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The development of childhood anxiety disorders (CADs) is likely to depend on pathways that can be programmed by early-life risk factors. We test the hypothesis that early-life maternal factors can predict this programming effect on CAD. METHODS:Data were obtained from 198 women and children from the Mercy P...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291720002147
更新日期:2020-06-29 00:00:00
abstract::Twenty schizophrenic patients with tardive dyskinesia and an equal number of matched controls were tested on a novel cognitive task. The task had two components: cued response and spatial memory. Relative to controls, the dyskinetic subjects showed a superior cued response performance but an equal spatial memory abili...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291700023588
更新日期:1985-05-01 00:00:00
abstract:BACKGROUND:Children of parents with mood and psychotic disorders are at elevated risk for a range of behavioral and emotional problems. However, as the usual reporter of psychopathology in children is the parent, reports of early problems in children of parents with mood and psychotic disorders may be biased by the par...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291719001089
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Psychiatric rehabilitation (PR) can improve functioning in people with severe mental illness (SMI), but outcomes are still suboptimal. Cognitive impairments have severe implications for functioning and might reduce the effects of PR. It has been demonstrated that performance in cognitive tests can be improve...
journal_title:Psychological medicine
pub_type: 杂志文章,meta分析
doi:10.1017/S003329171800418X
更新日期:2019-07-01 00:00:00
abstract::The validity and reliability of an empirically defined fatigue syndrome were tested in a prospective cohort study of 245 primary care patients, with glandular fever or an upper respiratory tract infection. Subjects were interviewed three times in the 6 months after onset. Subjects with the empirically defined fatigue ...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291700037405
更新日期:1995-09-01 00:00:00
abstract:BACKGROUND:Research into violence among military personnel has not differentiated between stranger- and family-directed violence. While military factors (combat exposure and post-deployment mental health problems) are risk factors for general violence, there has been limited research on their impact on violence within ...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291717003695
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Psychological traumatic events, such as war or road traffic accidents, are widespread. A small but significant proportion of survivors develop post-traumatic stress disorder (PTSD). Distressing, sensory-based involuntary memories of trauma (henceforth 'flashbacks') are the hallmark symptom of PTSD. Understan...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291712002358
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:Recent neurobiological models provide a possible mechanism of daily life stress directly affecting the intensity of psychotic experiences in vulnerable individuals. In order to validate such a mechanism, the impact of daily life stress on psychosis intensity was investigated in two groups at increased risk o...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291704004179
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:Many women who undergo diagnostic laparoscopy for chronic pelvic pain do not have pelvic pathology. This has led to an interest in psychological factors that might contribute to their experience of pain. This study was designed to evaluate the effects of diagnostic laparoscopy on women with chronic pelvic pa...
journal_title:Psychological medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1017/s0033291797004868
更新日期:1997-09-01 00:00:00
abstract:BACKGROUND:Suicide is expressly condemned in the Qu'ran, and traditionally few Islamic countries have reported suicide. Undetermined deaths are classified by the World Health Organization (WHO) as Other Violent Deaths (OVD) in ICD-9, or Other External Causes (OEC) in ICD-10. It has been suggested that to avoid under-re...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291706009159
更新日期:2007-03-01 00:00:00
abstract:BACKGROUND:The objective was to describe patients presenting themselves at emergency-care settings following a suicide attempt in eight culturally different sites [Campinas (Brazil), Chennai (India), Colombo (Sri Lanka), Durban (South Africa), Hanoi (Viet Nam), Karaj (Iran), Tallinn (Estonia), and Yuncheng, (China)]. ...
journal_title:Psychological medicine
pub_type: 杂志文章,多中心研究
doi:10.1017/S0033291705005416
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND:Although a substantial body of research points to a link between psychological distress and inflammatory responses in middle-aged and older adults, particularly those with cardiovascular disease, the relationship between inflammation and distress in young, healthy individuals has not been established. This s...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291710000267
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Little is known about how continuation and maintenance cognitive-behavioural therapy (CBT) influences important psychological constructs that may be associated with long-term outcome of major depressive disorder. The goal of this study was to examine whether CBT would help maintain attributional style change...
journal_title:Psychological medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1017/s0033291703001028
更新日期:2004-04-01 00:00:00
abstract:BACKGROUND:Individuals with depression are often found to perform worse on cognitive tests and to have an increased risk of dementia. The causes and the direction of these associations are however not well understood. We looked at two specific hypotheses, the aetiological risk factor hypothesis and the reverse causalit...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291720003037
更新日期:2020-09-11 00:00:00
abstract:BACKGROUND:Patients treated in primary care settings report better mental outcomes when they agree with practitioners about the nature of their core presenting problems. However, no study has examined the impact of staff-patient agreement on treatment outcomes in specialist mental health services. We investigated wheth...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291707000785
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Complicated grief is a distinct psychological response of individuals facing the loss of a loved one and can lead to many types of adverse health outcomes. Although social support may be beneficial, few studies have examined the beneficial effects of helpful support on complicated grief following bereavement...
journal_title:Psychological medicine
pub_type: 杂志文章,随机对照试验
doi:10.1017/S0033291715001658
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:To assess the prevalence and clinical impact of co-morbid social anxiety disorder (SAD) and alcohol use disorders (AUD, i.e. alcohol abuse and alcohol dependence) in a nationally representative sample of adults in the United States. METHOD:Data came from a large representative sample of the US population. F...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291709991231
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:The effectiveness of therapeutic interventions in psychosis is increasingly reported in terms of reductions in different symptom dimensions. It remains unclear, however, to what degree such symptomatic changes are accompanied by improvement in other measures such as service use, quality of life, and needs fo...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291799001014
更新日期:1999-09-01 00:00:00
abstract:BACKGROUND:Men sexually interested in children of a specific combination of maturity and sex tend to show some lesser interest in other categories of persons. Patterns of men's sexual interest across erotic targets' categories of maturity and sex have both clinical and basic scientific implications. METHOD:We examined...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291720001476
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:There is evidence that patients with chronic fatigue syndrome (CFS) have mild hypocortisolism. The clinical significance of this is unclear. We aimed to determine whether hypocortisolism exerted any effect on the response of CFS to cognitive behavioural therapy (CBT). METHOD:We measured 24-h urinary free co...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291709990390
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Low IQ is a risk factor for psychosis, but the effect of high IQ is more controversial. The aim was to explore the association of childhood school success with prodromal symptoms in adolescence and psychoses in adulthood. METHODS:In the general population-based Northern Finland Birth Cohort 1986 (n = 8 229)...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291719000825
更新日期:2020-04-01 00:00:00
abstract::Age and sex-adjusted first admission rates for operationally-defined schizophrenia and other non-affective psychosis in different ethnic groups were calculated over the period 1988-1992 in a defined catchment area in South London. Standardized rates for schizophrenia, corrected for age- and gender-related under-report...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291700033845
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:Continuity of care is considered by patients and clinicians an essential feature of good quality care in long-term disorders, yet there is general agreement that it is a complex concept. Most policies emphasize it and encourage systems to promote it. Despite this, there is no accepted definition or measure a...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291708003747
更新日期:2009-02-01 00:00:00