Why is it that dysphoric patients do not realize their dysphoric mood? 1988

E Baldaszti, and R Naske, and E Opgenoorth
Psychologisches Labor der Psychiatrischen Universitätsklinik, Wien, Osterreich.

In contrast to the clinical psychopathological approach to emotion, we used aspects of the cognitive emotion theories formulated by Lazarus [1966] and Folkman and Lazarus [1985]. According to these theories, emotion is a product of cognitive appraisal and coping a mechanism regulating emotion. We put into operation four coping types in a two-dimensional way (using the amount of anxiety and social desirability and the repressor-sensitizer concept of Byrne [1961] in the extended version of Krohne [1974]) in order to differentiate 30 patients labeled as 'dysphoric' (n = 15) or 'depressed' (n = 15) from a clinical point of view. It was possible to distinguish subpopulations of dysphoric patients as well as depressed patients (discriminant analysis, analysis of variance), which served as a basis for answering our questions to the effect that a clearly defined group of dysphoric patients - all diagnosed as bipolar manic depressives - predominantly employs rigid repressive coping strategies, i.e. defensively denying anxiety. Thus, rigid defensive reactions (i.e. perceptual defense) prevent a change in the direction of distressing emotions but leave the person in a state of high arousal. This psychological theory of coping disposition agrees very well with the clinical view of dysphoric state.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010556 Personality Tests Standardized objective tests designed to facilitate the evaluation of personality. Personality Test,Test, Personality,Tests, Personality
D003071 Cognition Intellectual or mental process whereby an organism obtains knowledge. Cognitive Function,Cognitions,Cognitive Functions,Function, Cognitive,Functions, Cognitive
D003674 Defense Mechanisms Unconscious process used by an individual or a group of individuals in order to cope with impulses, feelings or ideas which are not acceptable at their conscious level; various types include reaction formation, projection and self reversal. Mechanisms, Defense
D003717 Denial, Psychological Refusal to admit the truth or reality of a situation or experience. Denial, Psychology,Psychological Denial
D003866 Depressive Disorder An affective disorder manifested by either a dysphoric mood or loss of interest or pleasure in usual activities. The mood disturbance is prominent and relatively persistent. Depression, Endogenous,Depression, Neurotic,Depression, Unipolar,Depressive Syndrome,Melancholia,Neurosis, Depressive,Unipolar Depression,Depressions, Endogenous,Depressions, Neurotic,Depressions, Unipolar,Depressive Disorders,Depressive Neuroses,Depressive Neurosis,Depressive Syndromes,Disorder, Depressive,Disorders, Depressive,Endogenous Depression,Endogenous Depressions,Melancholias,Neuroses, Depressive,Neurotic Depression,Neurotic Depressions,Syndrome, Depressive,Syndromes, Depressive,Unipolar Depressions
D005260 Female Females
D006791 Hostility Tendency to feel anger toward and to seek to inflict harm upon a person or group. Hostilities
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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