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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Depressive symptomatology, rather than neuroticism, predicts inflated physical symptom reports in community-residing women.
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Depressive symptomatology, rather than neuroticism, predicts inflated physical symptom reports in community-residing women.

机译：抑郁症状而不是神经质症状预示着居住在社区的女性的身体症状报告会有所增加。

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摘要

OBJECTIVE: To examine the roles of depressive symptomatology and neuroticismegative affect (N/NA) on common physical symptom reporting in a sample of community residents. METHODS: Community-residing women (n = 108) participated in a combined concurrent-retrospective design. Physical symptoms were assessed concurrently over 21 consecutive days followed by a retrospective assessment of the collective symptom experience for the same time period. RESULTS: Based on evidence of differences in cognitive processing of emotion-relevant material, we predicted and found that depressive symptomatology (at baseline) was a stronger predictor of inflated physical symptom recall than N/NA. Depressive symptomatology was also a stronger, independent predictor of concurrent physical symptoms. Notably, these results were obtained even when physical depressive symptoms in both the physical symptom checklist and the baseline depression assessment were eliminated. CONCLUSIONS: The results suggest that the classic symptom perception hypothesis should be refined and operationalized in terms of depressive symptomatology rather than N/NA. This study demonstrates how cognitive-affective processing differences associated with depressive symptomatology can shed additional light on the psychology of symptom perception. Implications for treatment seeking, medical diagnoses, and treatment decisions are discussed.
机译：目的：探讨抑郁症状和神经质/负面影响（N / NA）在社区居民样本中对常见身体症状报告的作用。方法：居住在社区的妇女（n = 108）参加了同期回顾性研究的联合设计。在连续21天中同时评估身体症状，然后对同一时期的集体症状经历进行回顾性评估。结果：基于情感相关材料认知处理差异的证据，我们预测并发现，与N / NA相比，抑郁症状（在基线水平）是更强的身体症状恢复的预测因子。抑郁症状也是并发身体症状的更强的独立预测因子。值得注意的是，即使同时消除了身体症状检查表和基线抑郁评估中的身体抑郁症状，也可以获得这些结果。结论：结果提示经典症状知觉假说应根据抑郁症状而不是N / NA加以完善和实施。这项研究证明了与抑郁症状有关的认知情感加工差异如何能够进一步阐明症状感知的心理学。讨论了对寻求治疗，医学诊断和治疗决策的影响。

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