M. Wolfersdorf et A. Kiefer, DEPRESSION AND THE AGGRESSION HYPOTHESIS - A COMPARISON OF DEPRESSED INPATIENTS AND NON-DEPRESSIVE CONTROLS USING THE BUSS-DURKEE HOSTILITYINVENTORY, Psychiatrische Praxis, 25(5), 1998, pp. 240-245
Purpose: The aim of this study was to prove the hypothesis that covert
or inhibited aggression/hostility as described in psychoanalytic lite
rature is part of the psychogenetic development of depression. Method:
We compared 50 consecutively admitted depressed inpatients to 50 heal
thy people of the regionally living general population, matched by sex
and age, using the Buss-Durkee Hostility Inventory. Results: Depresse
d patients have significantly higher values in the BDHI subscales ''to
tal aggression'', especially in irritability, negativism, resentment,
suspicion and guilt, also in ''attitudional component'', ''inhibited a
ggression'' and,,covert hostility''. No differences were found in ''as
sault'' and,,indirect aggression'', controls got significantly higher
values in ''verbal aggression''. A comparison of depressed patients wi
th suicide attempts versus depressed patients without such behaviour s
howed no significant differences. Conclusion: The psychoanalytic hypot
hesis seems to be useful for depression but not for the suicidal behav
iour of depressive patients.