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The OPD-CA-2 axis interpersonal relations: A helpful tool for treatment planning? Relationship patterns of adolescent patients with persistent intrapsychic conflicts, structural deficits and trauma sequelae disorders OPD-CA-2轴人际关系:治疗计划的有用工具?青少年持续性心理冲突、结构缺陷和创伤后遗症障碍患者的关系模式
IF 0.8 4区 心理学 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-10-02 DOI: 10.1080/19012276.2021.2003233
C. Cropp, B. Claaßen
Abstract The axis interpersonal relations of the Operationalized Psychodynamic Diagnosis in Childhood and Adolescence (OPD-CA-2; OPD-CA-2 Task Force, OPD-CA-2. Operationalized Psychodynamic Diagnosis in Childhood and Adolescence. Theoretical Basis and User Manual. Hogrefe, 2017) allows to describe how children and adolescents handle relationships both with relevant attachment figures (e.g., parents) and with the examiner in a standardized way. In the current study, the axis interpersonal relations was used in an inpatient adolescent sample. The aim of the study was to identify typical relationship patterns depending on the patients’ structural level. By inspecting the relationship patterns of all ratings, we identified three groups of patients: The first group included patients with a limited structural level and clearly recognizable intrapsychic conflict dynamics (“focus: conflict”), the second group included patients with a low structural level (“focus: structure”), and the third group included patients who had been exposed to severe traumatic experiences with relevant attachment figures (“focus: trauma”). The relationship characteristics of these three groups were described and illustrated by prototypical cases. Conclusions for clinical practice were discussed as well.
摘要儿童和青少年操作性精神动力诊断的轴心人际关系。儿童和青少年的操作性心理动力学诊断。理论基础及使用说明书。Hogrefe,2017)允许描述儿童和青少年如何以标准化的方式处理与相关依恋人物(例如父母)和考官的关系。在目前的研究中,轴心人际关系被用于住院青少年样本。该研究的目的是根据患者的结构水平来确定典型的关系模式。通过检查所有评分的关系模式,我们确定了三组患者:第一组包括结构水平有限、心理内冲突动力学清晰可辨的患者(“焦点:冲突”),第三组包括接触过严重创伤经历的患者,并附上相关的附图(“重点:创伤”)。这三个群体的关系特征被描述,并通过原型案例加以说明。并对临床实践的结论进行了讨论。
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引用次数: 0
Parenting behavior and psychodynamic conflicts: Cross-sectional findings in a normative sample of adolescents and their parents 父母行为与心理动力冲突:青少年及其父母规范样本的横断面调查结果
IF 0.8 4区 心理学 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-10-02 DOI: 10.1080/19012276.2021.2001681
Aslı Akın, I. Seiffge-Krenke, A. Obbarius, M. Reitzle, Lea Sarrar
Abstract The present study aims at determining the associations between various dimensions of parenting behavior and the predominance of psychodynamic conflicts. Psychodynamic conflicts are described as non-integrated, temporally persistent, contradictory perspectives of experience and action. The OPD Conflict Questionnaires for children and adults, as well as both the children’s and parents’ versions of the Zurich Brief Questionnaire for the Assessment of Parental Behaviors were used to assess psychodynamic conflicts and parenting behavior in a sample comprising 221 healthy adolescents, 132 mothers, and 76 fathers, respectively. We found that a) controlling parenting behavior decreases with increasing age of adolescents, that b) girls tend to have passive identity and self-worth conflicts, while boys more often have an active oedipal conflict, and that c) girls perceive more maternal warmth and support than boys do. While perceived parental psychological control, especially by mothers, was positively associated with psychodynamic conflicts in adolescents, parental warmth and behavioral control were negatively associated with psychodynamic conflicts in adolescents. The reports from the parents on their parenting dimensions were partly associated with their own psychodynamic conflicts as well as with the conflicts of both their partners and children, respectively. Our findings show that psychodynamic conflicts and psychologically controlling parenting behavior do not only exist in families in which members suffer from mental illnesses but also in “healthy” families. Furthermore, the strong interrelations between psychodynamic conflicts and perceived parenting behavior of both parents and adolescents underline the need for integrated family therapy when adolescents become mentally ill.
摘要本研究旨在探讨父母行为的不同维度与心理动力冲突的关系。心理动力冲突被描述为经验和行动的非整合的、暂时持续的、矛盾的观点。采用OPD儿童冲突问卷和成人冲突问卷,以及儿童版和家长版父母行为评估苏黎世简要问卷,分别对221名健康青少年、132名母亲和76名父亲的心理动力冲突和父母行为进行了评估。我们发现,a)控制性父母行为随着青少年年龄的增长而减少,b)女孩倾向于有被动的身份认同和自我价值冲突,而男孩更多地有主动的俄狄浦斯冲突,c)女孩比男孩更能感受到母亲的温暖和支持。父母的心理控制(尤其是母亲的心理控制)与青少年的心理动力冲突呈正相关,而父母的温暖和行为控制与青少年的心理动力冲突呈负相关。父母在育儿方面的报告部分与他们自己的心理动力冲突有关,也与他们的伴侣和孩子的冲突有关。我们的研究结果表明,心理动力冲突和心理控制育儿行为不仅存在于患有精神疾病的家庭中,也存在于“健康”家庭中。此外,心理动力冲突与父母和青少年感知到的养育行为之间的强烈相互关系强调了当青少年患精神疾病时需要进行综合家庭治疗。
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引用次数: 0
Differences in psychodynamic conflicts between healthy adolescents and adolescent patients: Results with the conflict questionnaire 健康青少年与青少年患者心理动力冲突的差异:冲突问卷调查结果
IF 0.8 4区 心理学 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-10-02 DOI: 10.1080/19012276.2021.2001678
F. Escher, Lea Sarrar, I. Seiffge-Krenke
Abstract Unconscious conflicts are characterized as temporally persistent, contradictory perspectives of feelings and experiences, which the individual tries to integrate by using an active or passive mode. According to OPD-CA, seven conflict issues can be measured: Closeness versus Distance, Submission versus Control, Taking care of oneself versus Being cared for, Self-worth conflict, Guilt conflict, Oedipal conflict, and an Identity conflict. This study investigates one of the premises of the OPD-CA, that unconscious conflicts occur in healthy children and adolescents just as they do in patients of the same age, but to a much larger extent in patients, so that they downright may lead to symptoms. 299 healthy adolescents and 283 patients (mean age 17.10, SD = 1.94) were examined by using the self-rating of the conflict questionnaire (OPD-CA-CQ). The results indeed show significantly higher conflict levels in the clinical group with a comparable ranking of the most important conflicts in both samples. Of note, the passive processing mode prevailed in both groups. Conceptually, this signifies, that topics such as loyalty towards parents, insecurity, and disorientation with regard to identity and sexuality concern all youth but impair the patient much more than the healthy youth. In conclusion, one of the premises of the conflict axis of the OPD-CA that the topics occur in all adolescents with substantially higher mean levels in the clinical group was confirmed.
无意识冲突的特征是暂时持续的、矛盾的感觉和经验观点,个体试图通过使用主动或被动模式来整合。根据OPD-CA,七种冲突问题可以测量:亲密与距离,服从与控制,照顾自己与被照顾,自我价值冲突,内疚冲突,俄狄浦斯冲突和身份冲突。本研究调查了OPD-CA的一个前提,即无意识冲突发生在健康的儿童和青少年身上,就像他们发生在同龄的病人身上一样,但在病人身上的程度要大得多,所以它们完全可能导致症状。采用冲突问卷自评法(OPD-CA-CQ)对299名健康青少年和283名患者(平均年龄17.10岁,SD = 1.94)进行调查。结果确实表明,临床组的冲突水平明显更高,两个样本中最重要冲突的排名相当。值得注意的是,被动处理模式在两组中都占主导地位。从概念上讲,这意味着,对父母的忠诚、不安全感、关于身份和性取向的迷失等话题涉及所有青年,但对患者的损害远大于对健康青年的损害。综上所述,OPD-CA冲突轴的一个前提是,这些话题发生在所有临床组平均水平较高的青少年中,这一前提得到了证实。
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引用次数: 1
Operationalized psychodynamic diagnosis in childhood and adolescence (OPD-CA): Changes across psychodynamic child and adolescent therapy 儿童和青少年的操作性心理动力学诊断(OPD-CA):儿童和青少年心理动力学治疗的变化
IF 0.8 4区 心理学 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-10-02 DOI: 10.1080/19012276.2021.2001683
K. Weitkamp, Sandra Claassen, S. Wiegand-Grefe, G. Romer
Abstract Psychodynamic therapies are effective in reducing mental health symptoms. However, little is known in terms of changes in the core psychodynamic concepts, like the structural level, interpersonal relatedness, and intrapsychic conflicts. The current study focused on these psychodynamic concepts – measured with the Operationalized Psychodynamic Diagnosis in Childhood and Adolescence (OPD-CA) – over the course of therapy and its relation to therapy outcome. Additionally, the OPD-CA axis treatment prerequisites was tested as a predictor of outcome. Therapists assessed the OPD-CA as well as the level of psychosocial impairment of 146 patients (aged M = 12.7 years, 62% female) at the beginning and end of therapy as part of a larger study on the effectiveness of psychodynamic psychotherapy. Structural level, interpersonal relations, and conflicts improved significantly over the course of therapy. Positive outcome was predicted by communicative abilities, positive self-relatedness and a high conflict level at the beginning of therapy as well as the improvement of these variables during therapy. Among the treatment prerequisites, only the subjective level of psychosocial impairment and the intrapsychic resources were predictive of outcome. Psychodynamic psychotherapy for children and adolescents may improve central psychodynamic concepts like structural level, interpersonal relations, and conflicts.
心理动力疗法在减轻心理健康症状方面是有效的。然而,就核心心理动力学概念的变化而言,如结构水平、人际关系和心理内部冲突,人们知之甚少。目前的研究集中在这些心理动力学概念上——用操作性儿童和青少年心理动力学诊断(OPD-CA)来测量——在治疗过程中及其与治疗结果的关系。此外,OPD-CA轴治疗先决条件作为预后的预测因子进行了测试。治疗师在治疗开始和结束时评估了146名患者(年龄M = 12.7岁,62%为女性)的OPD-CA以及心理社会障碍水平,这是一项关于心理动力心理治疗有效性的大型研究的一部分。结构水平、人际关系和冲突在治疗过程中显著改善。治疗开始时的沟通能力、积极的自我关系和高冲突水平以及治疗期间这些变量的改善预测了积极的结果。在治疗的先决条件中,只有主观的社会心理障碍水平和心理资源是预测结果的。儿童和青少年的心理动力学心理治疗可以改善核心的心理动力学概念,如结构水平、人际关系和冲突。
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引用次数: 0
The Operationalized Psychodynamic Diagnostic for Children and Adolescents (OPD-CA-2): a new diagnostic method to determine psychodynamic constructs 儿童和青少年操作性心理动力学诊断(OPD-CA-2):一种确定心理动力学结构的新诊断方法
IF 0.8 4区 心理学 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-10-02 DOI: 10.1080/19012276.2021.2012107
I. Seiffge-Krenke, S. Hau
This special issue deals with a new diagnostic system, the Operationalized Psychodynamic Diagnostic for Children and Adolescents (OPD-CA-2). It has been an established instrument in the clinical context in German-speaking countries for several years. With the English version of the manual published in 2017, the Spanishand Turkish language version published in 2020 and 2021, the concept of operationalized psychodynamic diagnostics will spread even more widely internationally. We present in this special issue the initiatives and findings from contributors from Switzerland, Austria, Germany, Sweden and South America. The question of symptom diagnosis versus structure and conflict diagnosis currently occupies many therapists. The OPD-CA can be seen as a supplement to conventional diagnostics with the ICD-11 or the DSM-5. A symptom diagnosis can in no way be dispensed; it is the symptoms from which the patients and their families suffer and which ultimately lead to a diagnostic examination and, if necessary, to counseling, psychotherapeutic treatment or another indication. However, the mere determination of the symptoms is not sufficient for an efficient treatment, because symptoms can often change spontaneously or different symptoms occur simultaneously, so that a purely symptom-specific treatment may not be very effective. The Operationalized Psychodynamic Diagnostics in Childhood and Adolescence (OPD-CA) therefore strives for a complex recording of psychodynamic processes that caused the symptoms and embeds them in the developmental context. The development concept is central and affects all aspects of the process, from the type of findings to the selection of relevant diagnostic categories to the process of diagnostic assessment on various content-related axes and finally, a treatment recommendation.
本特刊涉及一种新的诊断系统,即儿童和青少年的操作性心理动力学诊断(OPD-CA-2)。多年来,它一直是德语国家临床上的一种既定工具。随着该手册的英文版于2017年出版,西班牙和土耳其语版于2020年和2021年出版,可操作的心理动力学诊断的概念将在国际上更广泛地传播。我们在本期特刊中介绍了来自瑞士、奥地利、德国、瑞典和南美洲的撰稿人提出的倡议和调查结果。症状诊断与结构和冲突诊断的问题目前占据了许多治疗师的位置。OPD-CA可以被视为ICD-11或DSM-5常规诊断的补充。症状诊断是不可能的;它是患者及其家人所遭受的症状,最终导致诊断检查,如有必要,还导致咨询、心理治疗或其他适应症。然而,仅仅确定症状不足以进行有效的治疗,因为症状通常会自发变化或同时出现不同的症状,因此纯粹的症状特异性治疗可能不是很有效。因此,儿童和青少年的操作性心理动力学诊断(OPD-CA)致力于对导致症状的心理动力学过程进行复杂的记录,并将其嵌入发展背景中。发展概念是核心,影响过程的各个方面,从发现的类型到相关诊断类别的选择,再到对各种内容相关轴的诊断评估过程,最后是治疗建议。
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引用次数: 0
One diagnosis—different conflicts: Using the OPD-CA conflict axis as tool for treatment planning 一种诊断不同的冲突:使用OPD-CA冲突轴作为治疗计划的工具
IF 0.8 4区 心理学 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-10-02 DOI: 10.1080/19012276.2021.2001679
I. Seiffge-Krenke
Abstract OPD-CA has set itself the goal of collecting important information that goes beyond diagnosis and are helpful for the indication of therapy and the planning of the therapeutic process. The focus of this article is the Conflict axis of the OPD-CA. Using the example of two patients who have the same diagnosis, F93, it is demonstrated that the same symptoms can be based on very different psychodynamic conflicts. These should be dealt with in therapy so that the development-hindering function of intrapsychic conflicts is eliminated. In addition, it makes sense to use other axes of the OPD-CA, such as Prerequisites for treatment, which gives information about the motivation of the patient and his or her resources, and the axis Structure, which examines the structural requirements for long-term psychodynamic therapy. This is also discussed in the two cases and some information on how to proceed in therapy is given. This concerns also additional work with the parents of the patients.
OPD-CA的目标是收集超越诊断的重要信息,有助于治疗的指征和治疗过程的计划。本文的重点是OPD-CA的冲突轴。以两个诊断相同的病人F93为例,表明相同的症状可以基于非常不同的心理动力冲突。这些都应该在治疗中处理,以消除心理冲突的发展障碍功能。此外,使用OPD-CA的其他轴也是有意义的,比如治疗的先决条件,它提供了关于患者动机和他或她的资源的信息,以及轴结构,它检查了长期心理动力治疗的结构要求。在这两个案例中也讨论了这一点,并给出了如何进行治疗的一些信息。这也涉及到与患者父母的额外工作。
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引用次数: 0
Psychic structure, unconscious conflict and adolescent psychopathology: The contributions of OPD-CA–2 心理结构、无意识冲突与青少年精神病理学:OPD-CA–2的贡献
IF 0.8 4区 心理学 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-10-02 DOI: 10.1080/19012276.2021.2001680
Nicolás Bagattini
Abstract Diagnosis has historically suffered from a lack of consensus around the categories or dimensions raised by the different psychopathological traditions. This is even more noticeable when working with children and adolescents. In this article, through the presentation of a case, the importance of performing a psychodynamic diagnosis in adolescence (in a complementary way to the categorical diagnosis) is highlighted, addressing the psychic structure, unconscious conflicts, and its relationship with the psychopathological presentation. The contributions of the OPD-CA-2 manual, and the self - report questionnaires derived from it for adolescent psychodynamic psychotherapy are discussed.
摘要诊断在历史上一直存在着对不同精神病理学传统提出的类别或维度缺乏共识的问题。这一点在与儿童和青少年合作时更为明显。在这篇文章中,通过一个案例的介绍,强调了在青春期进行心理动力学诊断的重要性(以与分类诊断互补的方式),解决了心理结构、无意识冲突及其与精神病理学表现的关系。讨论了OPD-CA-2手册及其衍生的自我报告问卷对青少年心理动力心理治疗的贡献。
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引用次数: 0
Network or hierarchy? Personality profiles of future military leaders 网络还是层次结构?未来军事领导人的个性简介
IF 0.8 4区 心理学 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-07-19 DOI: 10.1080/19012276.2021.1945947
Oluf Gøtzsche-Astrup, Morten Brænder, Vilhelm Stefan Holsting
Abstract To what degree do future military officers resemble the traditional hierarchical leadership ideal, and to what degree do they resemble an emerging new kind of network-based leadership ideal? Military organizations are constantly changing in response to pressures from within the organization and surrounding society. Today, such changes exert themselves in novel recruitment strategies for a new generation of military leaders. Previous studies have shown how a new network-organizational paradigm has come to the fore in military leadership and officer recruitment. However, the core requirements of military leadership—remaining calm under pressure and demonstrating an ability to lead others and inspire followership—remain the same. Military psychological scholarship has often focused on subgroups within the military rather than general differences in personality between military and civilian populations. We remedy this limitation in the literature, and use the Big Five taxonomy and a unique dataset consisting of the personality profiles of an entire cohort of Danish officer cadets (n = 190) and a large (n = 1,568) Danish population-representative sample. We compare officer cadets to civilians using a three-level matching procedure, finding that the pool from which future military leaders are selected, the military cadets, are less neurotic, more extraverted and somewhat more conscientious than their civilian counterparts, traits that we theorize fit with the core requirements of traditional military leadership. The results indicate that cadets are no less open or agreeable than their civilian peers, traits that we theorize are related to a balancing towards the network-organizational paradigm.
摘要未来军官在多大程度上类似于传统的层级领导理想,在多大意义上类似于新兴的网络领导理想?军事组织不断变化,以应对组织内部和周围社会的压力。今天,这种变化在新一代军事领导人的新招募战略中发挥了作用。先前的研究表明,一种新的网络组织模式是如何在军事领导和军官招募中脱颖而出的。然而,军事领导的核心要求——在压力下保持冷静,展示领导他人和激发追随者的能力——仍然不变。军事心理学研究经常关注军队内部的亚群体,而不是军队和平民之间的一般性格差异。我们弥补了文献中的这一限制,并使用了五大分类法和一个由丹麦军官学员(n = 190)和大(n = 1568)丹麦人口代表性样本。我们使用三级匹配程序将军官学员与平民进行了比较,发现未来军事领导人的选拔对象,即军官学员,与平民学员相比,不那么神经质,更外向,也更认真,我们理论上认为这些特征符合传统军事领导的核心要求。研究结果表明,学员们的开放性或亲和力并不亚于他们的平民同龄人,我们理论上认为这些特征与网络组织范式的平衡有关。
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引用次数: 0
Orientation and motivational climate in elite handball players: Multivariate modeling of performance 优秀手球运动员的取向与动机氛围:表现的多元模型
IF 0.8 4区 心理学 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-07-16 DOI: 10.1080/19012276.2021.1922304
Hafrún Kristjánsdóttir, Ásrún Matthíasdóttir, J. Saavedra
Abstract This study's objectives were to analyse goal orientation and motivational climate in elite handball players as functions of age and gender; and construct a multivariate model explaining handball performance from a motivational perspective (orientation and climate). The participants were 174 national team handball players. They were categorized in accordance with the official age groups. Two questionnaires were used: Task and Ego Orientation in Sport Questionnaire and the Perceived Motivational Climate in Sport Questionnaire-2. A one-way ANOVA (Bonferroni post-hoc correction) was used to examine differences between teams for each gender. Discriminant analyses were performed to classify the participants of each team into two groups according to their performance level (starters and non-starters). There were no age or gender differences found in goal orientation, and very few differences in motivational climate. Except for the women's U19, U17, and U15 teams, it was possible to predict the performance level (starters and non-starters) in the different age and gender groups, achieving correct classification (55% to 93%). The two variables that were repeated most often (thrice) in the models were ego orientation and task cooperative learning. Coaches might focus on looking for handball players with ego orientation, while a climate of task-oriented motivation should predominate in training sessions.
摘要本研究的目的是分析精英手球运动员的目标取向和动机氛围与年龄和性别的关系;并构建了一个从动机角度(定向和气候)解释手球表现的多元模型。参与者是174名国家队手球运动员。他们按照官方年龄组进行了分类。使用了两份问卷:运动中的任务和自我取向问卷和运动中的感知动机氛围问卷-2。使用单因素方差分析(Bonferroni post-hoc correction)来检验每个性别团队之间的差异。进行了判别分析,将每支球队的参与者根据他们的表现水平分为两组(先发球员和非先发球员)。在目标取向方面没有发现年龄或性别差异,在动机氛围方面也很少有差异。除女子U19、U17和U15队外,可以预测不同年龄和性别组的表现水平(首发和非首发),从而实现正确的分类(55%至93%)。模型中重复次数最多(三次)的两个变量是自我定向和任务合作学习。教练可能会专注于寻找以自我为导向的手球运动员,而以任务为导向的动机应该在训练中占主导地位。
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引用次数: 1
Trusting behavior and depressive symptoms 信任行为和抑郁症状
IF 0.8 4区 心理学 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-07-12 DOI: 10.1080/19012276.2021.1945948
Elvar Friðriksson, Haukur Freyr Gylfason, Vaka Vésteinsdóttir, J. F. Sigurdsson
Abstract Economic games have been shown to be an effective way to assess interpersonal impairment, which is associated with depression. Because trust is a key element in all social interaction, we tested whether trust, assessed with an economic game, is negatively associated with depressive symptoms. Participants (n = 163) took part in a distrust game and completed the Patient Health Questionnaire (PHQ-9), the Depression Anxiety and Stress Scales (DASS), and demographic questions. Multiple regression analysis estimated the relationship between the outcome of the distrust game and the cut-off scores of the PHQ-9, those of the DASS depression scale, and a depressive dichotomous score created using the cut-off scores from the PHQ-9 and the DASS depression subscale. The cut-off scores of the PHQ-9, the DASS depression scale, and the depressive dichotomous score separately predicted trust. The distrust game could be useful in further research into underlying mechanisms in interpersonal impairments and deficits in decision making in depression, which could lead to the development of interventions aimed at reducing the interpersonal impairments often associated with mental health.
摘要经济游戏已被证明是评估与抑郁症相关的人际关系障碍的有效方法。因为信任是所有社会互动中的一个关键因素,我们测试了通过经济游戏评估的信任是否与抑郁症状呈负相关。参与者(n = 163)参加了一场不信任游戏,并完成了患者健康问卷(PHQ-9)、抑郁、焦虑和压力量表(DASS)以及人口统计学问题。多元回归分析估计了不信任游戏的结果与PHQ-9的截止分数、DASS抑郁量表的截止分数以及使用PHQ-9和DASS抑郁分量表的截止得分创建的抑郁二分法得分之间的关系。PHQ-9、DASS抑郁量表和抑郁二分法得分的临界值分别预测了信任。不信任游戏可能有助于进一步研究抑郁症中人际关系障碍和决策缺陷的潜在机制,这可能导致制定旨在减少通常与心理健康相关的人际关系障碍的干预措施。
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引用次数: 2
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Nordic Psychology
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