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| Format: | Artículo científico |
| Language: | en |
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Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
2014
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| Online Access: | https://www.redalyc.org/articulo.oa?id=58229962006 |
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Table of Contents:
- Cognitive conflicts and symptom severity in dysthymia: “I’d rather be good than happy” Adrián Montesano Guillem Feixas Luis A. Saúl María I. Erazo Caicedo Gloria Dada David Winter Medicina Key words Dysthymia content analysis cognitive conflicts personal constructs A method for studying cognitive conflicts using the repertory grid tech - nique is presented. By means of this technique, implicative dilemmas can be identified, cognitive structures in which a personal construct for which change is wished for implies undesirable change on another construct. We assessed the presence of dilemmas and the severity of symptoms in 46 participants who met criteria for dysthymia and compared then to a non-clinical group composed of 496 participants. Finally, an analysis of the specific content of the personal constructs forming such dilemmas was also performed. Implicative dilemmas were found in almost 70% of the dysthymic participants in contrast to 39% of controls and in greater quantity. In addition, participants in both groups with this type of conflict showed more depressive symp - toms and general distress than those without dilemmas. Furthermore, a greater number of implicative dilemmas was associated with higher levels of symptom severity. Finally, content analysis results showed that implicative dilemmas are frequently composed of a constellation of moral values and emotion, indicating that symptoms are often related to moral aspects of the self and so change processes may be hin - dered. Clinical implications of targeting implicative dilemmas in the therapy context are discussed. 2014 artículo científico 0185-3325 https://www.redalyc.org/articulo.oa?id=58229962006 en http://www.redalyc.org/revista.oa?id=582 Salud Mental application/pdf Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Salud Mental (México) Num.1 Vol.37