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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1-2
|
| pubmed:dateCreated |
1998-5-11
|
| pubmed:abstractText |
We examine the proposition that dysfunctional parenting is more likely to be experienced by those with non-melancholic (compared to melancholic) depression and that, as a consequence, such specificity allows the validity of varying definitions of melancholia to be examined and their utility sharpened. We study a sample of 245 non-psychotic patients meeting DSM-III-R criteria for a major depressive episode and assign them to melancholic and non-melancholic sub-sets according to five separate sub-typing measures (DSM-III-R; DSM-IV; Newcastle; 'Clinical' and CORE criteria). We assess dysfunctional parenting by use of the Parental Bonding Instrument (PBI), and by structured psychiatrist assessment and self-report ratings of a range of dysfunctional parental experiences, with independent assessment and self-report ratings of a range of dysfunctional parental experiences, with independent assessment of the last by reports from corroborative witnesses and from the patients' referring therapists. The five sub-typing measures assigned varying percentages of the sample (24-42%) to a 'melancholic' sub-type. When Newcastle Index assignments were examined, there was no evidence that dysfunctional parenting had any specificity to non-melancholic depression. Neither the DSM-III-R nor DSM-IV systems demonstrated specificity in relation to PBI scores, but several interview-assessed dysfunctional parenting characteristics were over-represented in their non-melancholic sub-sets. 'Clinical' definition showed the greatest over-representation of dysfunctional parenting to those assigned as having non-melancholic depression. The CORE measure, a behaviourally weighted measure of psychomotor disturbance, was the next most differentiating. Importantly, those assigned as having non-melancholic depression by all five measures were more likely to be rated by corroborative witnesses as being exposed to anomalous parenting, validating the subjects' self-reports, arguing against results being an artefact of clinician-based assessment, and supporting the specificity of dysfunctional parenting to a depressive sub-type.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Nov
|
| pubmed:issn |
0165-1781
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:day |
14
|
| pubmed:volume |
73
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
57-71
|
| pubmed:dateRevised |
2008-4-17
|
| pubmed:meshHeading |
pubmed-meshheading:9463839-Adolescent,
pubmed-meshheading:9463839-Adult,
pubmed-meshheading:9463839-Aged,
pubmed-meshheading:9463839-Behavioral Symptoms,
pubmed-meshheading:9463839-Chi-Square Distribution,
pubmed-meshheading:9463839-Depressive Disorder,
pubmed-meshheading:9463839-Diagnosis, Differential,
pubmed-meshheading:9463839-Evaluation Studies as Topic,
pubmed-meshheading:9463839-Family Health,
pubmed-meshheading:9463839-Female,
pubmed-meshheading:9463839-Humans,
pubmed-meshheading:9463839-Male,
pubmed-meshheading:9463839-Middle Aged,
pubmed-meshheading:9463839-New South Wales,
pubmed-meshheading:9463839-Odds Ratio,
pubmed-meshheading:9463839-Parent-Child Relations,
pubmed-meshheading:9463839-Parenting,
pubmed-meshheading:9463839-Psychiatry,
pubmed-meshheading:9463839-Reproducibility of Results,
pubmed-meshheading:9463839-Risk Factors,
pubmed-meshheading:9463839-Sampling Studies
|
| pubmed:year |
1997
|
| pubmed:articleTitle |
Dysfunctional parenting: over-representation in non-melancholic depression and capacity of such specificity to refine sub-typing depression measures.
|
| pubmed:affiliation |
Mood Disorders Unit, Prince Henry Hospital, Randwick, NSW, Australia.
|
| pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|