Profile of Discrete Emotions in Affective Disorders in Older Primary Care Patients
作者:Larry Seidlitz、Jeffrey M. Lyness、Yeates Conwell、Paul R. Duberstein、Christopher Cox
DOI:10.1093/geront/41.5.643
日期:2001.10.1
Purpose: This research examined whether the frequencies of specific emotions are associated with major and minor depression in older primary care patients. Design and Methods: Older primary care patients (N = 146), prescreened with a depression questionnaire, completed a diagnostic interview and an emotions questionnaire. Results: Controlling for age, sex, and other psychiatric and medical illnesses, major depressives differed from nondepressed controls in nine emotions; minor depressives differed from controls in four emotions. Major depressives differed from the controls more in sadness, joy, and interest—but not anger, fear, or guilt—than in comparison sets of emotions. Minor depressives differed from the controls more in sadness and inner-directed hostility—but not guilt, anger, fear, joy, or interest—than in comparison sets of emotions. Implications: The frequencies of discrete emotions are differentially associated with major and minor depression; future research is needed to determine their specific diagnostic and treatment implications.
目的:本研究检验了特定情绪的频率是否与老年初级保健患者的重度和轻度抑郁相关。设计与方法:对146名年长初级保健患者进行了预筛选,使用抑郁问卷完成了诊断访谈和情绪问卷。结果:在控制年龄、性别和其他精神及医学疾病的情况下,重度抑郁者在九种情绪上与非抑郁对照组表现出差异;轻度抑郁者在四种情绪上与对照组表现出差异。重度抑郁者在悲伤、快乐和兴趣上与对照组的差异更显著,而在愤怒、恐惧或内疚上没有表现出显著差异。轻度抑郁者在悲伤和内向敌意上与对照组差异更大,而在内疚、愤怒、恐惧、快乐或兴趣上则没有显著差异。启示:不同情绪的频率与重度和轻度抑郁有不同的关联;未来的研究需要确定它们在具体诊断和治疗上的启示。