A Network Model of Positive Resources, Temperament, Childhood Trauma, and Comorbid Symptoms for Patient with Depressive Disorders
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective Temperament, positive resources, childhood trauma, and other clinical comorbid symptoms are related to depressive symptom severity. Here, we used network analysis to examine the interrelations between these clinical factors in patients with depressive disorders.Methods Patients with depressive disorders (n=454) completed self-report questionnaires evaluating clinical symptoms, childhood trauma, temperament, and positive resources. To identify network pattern and the most central aspect, we performed network analysis and centrality analyses. First, we analyzed the network pattern in total participants. Second, we established two groups of those with severe depressive symptoms and those with mild depressive symptoms and compared their network patterns.Results Deficient optimism and depression were the central factors in the network of total participants. In the group with severe depressive symptoms, lack of social support and childhood emotional trauma showed high centrality. Deficient social support and other positive resources played central roles in the group with mild depressive symptoms.Conclusion Network pattern of psychological factors was different between those with mild or severe depression. Lack of positive resources is an important factor in psychological processes in both mild and severe depression. However, childhood emotional trauma may play a relatively important role in patients with severe depressive symptoms.
Abstract
Objective Temperament, positive resources, childhood trauma, and other clinical comorbid symptoms are related to depressive symptom severity. Here, we used network analysis to examine the interrelations between these clinical factors in patients with depressive disorders.Methods Patients with depressive disorders (n=454) completed self-report questionnaires evaluating clinical symptoms, childhood trauma, temperament, and positive resources. To identify network pattern and the most central aspect, we performed network analysis and centrality analyses. First, we analyzed the network pattern in total participants. Second, we established two groups of those with severe depressive symptoms and those with mild depressive symptoms and compared their network patterns.Results Deficient optimism and depression were the central factors in the network of total participants. In the group with severe depressive symptoms, lack of social support and childhood emotional trauma showed high centrality. Deficient social support and other positive resources played central roles in the group with mild depressive symptoms.Conclusion Network pattern of psychological factors was different between those with mild or severe depression. Lack of positive resources is an important factor in psychological processes in both mild and severe depression. However, childhood emotional trauma may play a relatively important role in patients with severe depressive symptoms.
참고문헌 (55)
- Lim CR, "The effects of temperament on depression according to the Schema model : a scoping review", Int J Environ Res Public Health, 15, pp.1231~ (2018)
- Kampman O, "Can onset and recovery in depression be predicted by temperament? A systematic review and meta-analysis", J Affect Disord, 135, pp.20~27 (2011)
- Mandelli L, "The role of specific early trauma in adult depression: a meta-analysis of published literature. Childhood trauma and adult depression", Eur Psychiatry, 30, pp.665~680 (2015)
- Janiri D, "The ring of fire : childhood trauma, emotional reactivity, and mixed states in mood disorders", Psychiatr Clin North Am, 43, pp.69~82 (2020)
- Laird KT, "Psychobiological factors of resilience and depression in late life", Transl Psychiatry, 9, pp.88~ (2019)
- Graven LJ, "The impact of social support on depressive symptoms in individuals with heart failure : update and review", J Cardiovasc Nurs, 28, pp.429~443 (2013)
- Cramer AO, "Comorbidity : a network perspective", Behav Brain Sci, 33, pp.137~150 (2010)
- Borsboom D, "Network analysis : an integrative approach to the structure of psychopathology", Annu Rev Clin Psychol, 9, pp.91~121 (2013)
- Fried EI, "Problematic assumptions have slowed down depression research : why symptoms, not syndromes are the way forward", Front Psychol, 6, pp.309~ (2015)
- Bijttebier P, "Gray’s Reinforcement Sensitivity Theory as a framework for research on personality–psychopathology associations", Clin Psychol Rev, 29, pp.421~430 (2009)
- Meyer B, "Responsiveness to threat and incentive in bipolar disorder : relations of the BIS", BAS scales with symptoms, 2001, pp.23, 133~143
- Johnson SL, "BIS", BAS levels and psychiatric disorder : an epidemiological study, 2003, pp.25, 25~36
- Friis RH, "Life events and changes in the course of depression in young adults", Eur Psychiatry, 17, pp.241~253 (2002)
- Gibb BE, "Childhood emotional, physical, and sexual abuse, and diagnoses of depressive and anxiety disorders in adult psychiatric outpatients", Depress Anxiety, 24, pp.256~263 (2007)
- Min JA, "Resilience moderates the risk of depression and anxiety symptoms on suicidal ideation in patients with depression and", or anxiety disorders, 2015, pp.56, 103~111
- Min JA, "Low trait anxiety, high resilience, and their interaction as possible predictors for treatment response in patients with depression", J Affect Disord, 137, pp.61~69 (2012)
- Fava GA, "Increasing psychological well-being and resilience by psychotherapeutic methods", J Pers, 77, pp.1903~1934 (2009)
- Gariepy G, "Social support and protection from depression : systematic review of current findings in Western countries", Br J Psychiatry, 209, pp.284~293 (2016)
- Li M, "Mediator Effects of Positive Emotions on Social Support and Depression among Adolescents Suffering from Mobile Phone Addiction", Psychiatr Danub, 29, pp.207~213 (2017)
- Weger M, "High anxiety trait : a vulnerable phenotype for stress-induced depression", Neurosci Biobehav Rev, 87, pp.27~37 (2018)
- Cummings CM, "Comorbidity of anxiety and depression in children and adolescents : 20 years after", Psychol Bull, 140, pp.816~845 (2014)
- Choi KW, "Comorbid Anxiety and Depression : Clinical and Conceptual Consideration and Transdiagnostic Treatment", Adv Exp Med Biol, 1191, pp.219~235 (2020)
- Hawton K, "Risk factors for suicide in individuals with depression : a systematic review", J Affect Disord, 147, pp.17~28 (2013)
- Eysenck MW, "Anxiety and depression : toward overlapping and distinctive features", Cogn Emot, 32, pp.1391~1400 (2018)
- Watson D, "Differentiating the mood and anxiety disorders : a quadripartite model", Annu Rev Clin Psychol, 5, pp.221~247 (2009)
- Dijkstra-Kersten SM, "Somatisation as a risk factor for incident depression and anxiety", J Psychosom Res, 79, pp.614~619 (2015)
- Huijbregts KM, "Adverse effects of multiple physical symptoms on the course of depressive and anxiety symptoms in primary care", Psychother Psychosom, 79, pp.389~391 (2010)
- Winblad NE, "Effect of somatic experiencing resiliency-based trauma treatment training on quality of life and psychological health as potential markers of resilience in treating professionals", Front Neurosci, 12, pp.70~ (2018)
- Gulec MY, "Effects of childhood trauma on somatization in major depressive disorder : the role of alexithymia", J Affect Disord, 146, pp.137~141 (2013)
- Fava M, "The importance of irritability as a symptom of major depressive disorder : results from the National Comorbidity Survey Replication", Mol Psychiatry, 15, pp.856~867 (2010)
- Judd LL, "Overt irritability", anger in unipolar major depressive episodes : past and current characteristics and implications for long-term course, 2013, pp.70, 1171~1180
- Joiner TE, ", Metalsky GI. A prospective test of an integrative interpersonal theory of depression : a naturalistic study of college roommates", J Pers Soc Psychol, 69, pp.778~788 (1995)
- Moreno JK, "Measurement of hostility, anger, and depression in depressed and nondepressed subjects", J Pers Assess, 61, pp.511~523 (1993)
- Mogg K, "Interpretation of ambiguous information in clinical depression", Behav Res Ther, 44, pp.1411~1419 (2006)
- Sheehan DV, "The Mini-International Neuropsychiatric Interview (M.I.N.I.):the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10", J Clin Psychiatry, 59(Suppl 20), pp.22~33 (1998)
- Derogatis LR, "The SCL-90 and the MMPI : a step in the validation of a new self-report scale", Br J Psychiatry, 128, pp.280~289 (1976)
- Bernstein D, "Childhood Trauma Questionnaire: A Retrospective Self-Report Manual" (1998), The Psychological Corporation San Antonio
- Carver CS, "Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment : the BIS", BAS Scales, 1994, pp.67, 319~333
- 허휴정, "임상용 간편 긍정자원 척도(Clinical Short-Form Positive Resources Test; POREST)의 개발", 스트레스 硏究, 26(2), pp.77~87 (2018), 대한스트레스학회[DOI]
- Hanneman RA, "Introduction to Social Network Methods" (2005), University of California Riverside
- Beck AT, "Cognitive Therapy of Depression" (1979), Guilford Press
- Beck JS, "Cognitive Behavior Therapy: Basics and Beyond" (2011), Guilford Press
- Carver CS, "Dispositional optimism", Trends Cogn Sci, 18, pp.293~299 (2014)
- Carver CS, "Optimism", Clin Psychol Rev, 30, pp.879~889 (2010)
- Giltay EJ, "Dispositional optimism and the risk of depressive symptoms during 15 years of follow-up : the Zutphen Elderly Study", J Affect Disord, 91, pp.45~52 (2006)
- Kronstrom K, "Optimism and pessimism as predictors of work disability with a diagnosis of depression : a prospective cohort study of onset and recovery", J Affect Disord, 130, pp.294~299 (2011)
- Kwissa-Gajewska Z, "Relationship between daily pain and affect in women with rheumatoid arthritis : lower optimism as a vulnerability factor", J Behav Med, 41, pp.12~21 (2018)
- Esteve R, "Optimism, positive and negative affect, and goal adjustment strategies : their relationship to activity patterns in patients with chronic musculoskeletal pain", Pain Res Manag, 2018, pp.6291719~ (2018)
- Huh HJ, "The relationship between childhood trauma and the severity of adulthood depression and anxiety symptoms in a clinical sample : the mediating role of cognitive emotion regulation strategies", J Affect Disord, 213, pp.44~50 (2017)
- Davis JL, "Intimacy dysfunction and trauma symptomatology : long-term correlates of different types of child abuse", J Trauma Stress, 14, pp.63~79 (2001)
- DuCharme J, "Intimacy development : the influence of abuse and gender", J Interpers Violence, 12, pp.590~599 (1997)
- van Veen T, "Are childhood and adult life adversities differentially associated with specific symptom dimensions of depression and anxiety? Testing the tripartite model", J Affect Disord, 146, pp.238~245 (2013)
- Platts H, "Early maladaptive schemas and adult attachment in a UK clinical population", Psychol Psychother, 78, pp.549~564 (2005)
- McCanlies EC, "Resilience mediates the relationship between social support and post-traumatic stress symptoms in police officers", J Emerg Manag, 15, pp.107~116 (2017)
- Zhang H, "Resilience and quality of life : exploring the mediator role of social support in patients with breast cancer", Med Sci Monit, 23, pp.5969~5979 (2017)