SciELO - Scientific Electronic Library Online

vol.37 número1Relación entre el índice de desarrollo humano y uso de drogasEl origen y las funciones de los sueños a partir de los potenciales PGO índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados




Links relacionados

  • Não possue artigos similaresSimilares em SciELO


Salud mental

versão impressa ISSN 0185-3325


MONTESANO, Adrián et al. Cognitive conflicts and symptom severity in dysthymia: "I'd rather be good than happy". Salud Ment [online]. 2014, vol.37, n.1, pp.41-48. ISSN 0185-3325.

A method for studying cognitive conflicts using the repertory grid technique 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 symptoms 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 hindered. Clinical implications of targeting implicative dilemmas in the therapy context are discussed.

Palavras-chave : Dysthymia; Repertory Grid Technique; cognitive conflicts; implicative dilemmas; content analysis; personal constructs.

        · resumo em Espanhol     · texto em Inglês     · Inglês ( pdf )


Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons