DSM-IV-TRにおける大うつ病エピソードの意味するもの : コンピタンス臨床心理学的視点から

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The present study examined the characteristic symptoms of major depressive episode using diagnostic criteria in DSM-IV-TR in terms of competence clinical psychology. The criteria were translated into 24 competence symbols in the competence list consisted of five factors (cognitive, physical, social, survival, and general self-esteem competence) with three trained graduate students of clinical psychology. The results suggested that the criteria (A1-A9 and C) of the characteristic symptoms of major depressive episode in DSM-IV-TR associated with dysfunction of 17 components included in five competence factors. The 17 dysfunctional components stemmed from (1) verbal expression, thinking (judgment, decision, reasoning, and problem solving), attention, cognitive style (concern and flexibility), memory, and planning in cognitive competence factor, (2) physical form (weight), physiological function (internal organs, internal secretion) and physical action (physical expression and motion) in physical competence factor, (3) self-disclosure and social interchange in social competence factor, (4) volition, diligence (effort and continuation), self-control (responsibility), and task accomplishment (vocational activities) in survival competence factor, and (5) 3A for emotional stability (affection, acceptance, and approval) and self-confidence (sense of competence and sense of efficacy) in general self-esteem competence.
駒澤大学の論文