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Discrepancies between explicit and implicit self-esteem and their relationship to symptoms of depression and mania

机译:外显和内隐自尊之间的差异及其与抑郁和躁狂症状的关系

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Objectives. Self-esteem is a key feature of bipolar symptomatology. However, so far no study has examined the interaction between explicit and implicit self-esteem in individuals vulnerable to bipolar disorder.Design. Cross-sectional design was employed.Methods. Thirty children of parents with bipolar disorder and 30 offspring of control parents completed Hamilton Rating Scale for Depression, the Bech-Rafaelson Mania Scale, the Self-esteem Rating Scale and the Implicit Association Test.Results. No differences between groups were revealed in levels of explicit or implicit self-esteem. However, bipolar offspring showed increased levels of symptoms of depression and mania. Furthermore, depressive symptoms were associated with low explicit self-esteem, whilst symptoms of mania were associated with low implicit self-esteem. When self-esteem discrepancies were examined, damaged self-esteem (i.e., low explicit but high implicit self-esteem) was associated with depression, whilst no associations between mania and self-esteem discrepancies were found.Conclusions. Not only explicit, but also implicit self-esteem, and the interactions between the two are of relevance in bipolar symptoms. Clinical implications and future research directions are discussed.
机译:目标。自尊是双相症状的关键特征。然而,到目前为止,还没有研究检查易患躁郁症的个体的显性和隐性自尊之间的相互作用。采用横断面设计方法。 30名双相情感障碍父母的子女和30名对照父母的子女完成了汉密尔顿抑郁量表,Bech-Rafaelson躁狂症量表,自尊量表和内隐联想测验。两组之间在显性或隐性自尊水平上没有差异。然而,双极型后代表现出抑郁和躁狂症状增加。此外,抑郁症状与显性自尊低有关,而躁狂症状与隐性自尊低有关。当检查自尊差异时,受损的自尊(即低显性但高的内隐自尊)与抑郁症相关,而躁狂与自尊差异之间未发现关联。不仅外在的,而且内在的自尊心,以及两者之间的相互作用与双相型症状有关。临床意义和未来的研究方向进行了讨论。

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