Prior to DSM-5, depression had long been conceptualized as symptoms without cause or disproportionate to one's circumstances. A central challenge to considering whether a depressive reaction is disproportionate is the lack of measures assessing disproportionality. Drawing on a study of patients participating in cognitive behavioural therapy for depression, we evaluate two new measures of the disproportionality of one's depressive symptoms to their recent life circumstances.

中文翻译：

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评估抑郁反应对生活压力的不均衡性

在 DSM-5 之前，抑郁症长期以来一直被概念化为没有原因或与个人情况不相称的症状。考虑抑郁反应是否不成比例的一个核心挑战是缺乏评估不成比例的措施。根据对参与抑郁症认知行为疗法的患者的研究，我们评估了两种新的衡量标准，衡量一个人的抑郁症状与他们最近的生活环境的不成比例。