CAJ | 학술논문

目的探讨汉族与少数民族抑郁症患者中,应激性生活事件和认知情绪调节与抑郁情绪和自杀意念及行为之间的关系.方法应用生活事件量表、认知情绪凋查问卷、汉密顿抑郁量表对126名抑郁症患者进行测评,其中少数民族55人,汉族71人,利用SPSS17.0对各量表的结果进行双变量相关和逐步回归分析.结果全部样本中抑郁与负性认知情绪调节方式和生活事件、自杀意念呈正相关(自责r=0.599,接受r=0.527,沉思r=0.484,灾难化r=0.618,LES总分r=0.649,自杀r=0.482,P均<0.01),与正性认知情绪调节呈负相关(积极重新关注r=-0.476,重新关注计划r=-0.254,积极重新评价r=-0.221,理性分析r=-0.492,P均<0.01).自杀意念与工作学习问题、生活事件总分、负性认知情绪调节和抑郁、呈正相关(工作学习问题r=0.182,LES总分r=0.482,自责r=0.438,接受r=0.338,沉思r=0.378,灾难化r=0.457,抑郁r=0.724,P均<0.01),与积极重新关注和理性分析呈负相关(r=-0.319,r=-0.326,均P<0.01).汉族和少数民族患者中上述指标的相关性分析结果相似.少数民族抑郁症患者中应激性生活事件和灾难化、责难他人对抑郁的贡献显著,汉族抑郁症患者中生活事件和灾难化对抑郁的贡献显著,两组中抑郁程度对自杀的贡献最大.结论应激性生活事件和负性认知情绪调节对抑郁症状有着重要影响,而抑郁的严重程度是影响自杀的重要因素,各民族间没有质的差别.
목적 탐토한족여소수민족억욱증환자중,응격성생활사건화인지정서조절여억욱정서화자살의념급행위지간적관계.방법 응용생활사건량표、인지정서조사문권、한밀돈억욱량표대126명억욱증환자진행측평,기중소수민족55인,한족71인,이용SPSS17.0대각량표적결과진행쌍변량상관화축보회귀분석.결과 전부양본중억욱여부성인지정서조절방식화생활사건、자살의념정정상관(자책r=0.599,접수r=0.527,침사r=0.484,재난화r=0.618,LES총분r=0.649,자살r=0.482,P균<0.01),여정성인지정서조절정부상관(적겁중신관주r=-0.476,중신관주계화r=-0.254,적겁중신평개r=-0.221,이성분석r=-0.492,P균<0.01).자살의념여공작학습문제、생활사건총분、부성인지정서조절화억욱、정정상관(공작학습문제r=0.182,LES총분r=0.482,자책r=0.438,접수r=0.338,침사r=0.378,재난화r=0.457,억욱r=0.724,P균<0.01),여적겁중신관주화이성분석정부상관(r=-0.319,r=-0.326,균P<0.01).한족화소수민족환자중상술지표적상관성분석결과상사.소수민족억욱증환자중응격성생활사건화재난화、책난타인대억욱적공헌현저,한족억욱증환자중생활사건화재난화대억욱적공헌현저,량조중억욱정도대자살적공헌최대.결론 응격성생활사건화부성인지정서조절대억욱증상유착중요영향,이억욱적엄중정도시영향자살적중요인소,각민족간몰유질적차별.
Objective To explore the difference of risk factors to depression between different nationalities, the relationship of stressing life events, cognitive emotion regulation, and depression and suicide ideation were studied by correlate and regression analysis. Methods 126 patients with depression diagnosed by CCMD-III,55 minority nationality and 71 Han nationality patients,completed life events questionnaires,cognitive emotion regulation questionaire(CERQ) and HAMD. All the parameters be analyzed by SPSS 17.0, and correlation analysis and stepwise regression analysis be employed to analyze the relationship between the parameters. Results Negative cognitive emotion, stressing life events and suicide ideation related positively to depression, while positive cognitive emotion related to depression negatively(r self-blame=0.599,r acceptance=0.527,r rumination=0.484,r catastrophizing=0.618,r LES=0.649,r suicide ideation=0.482,P<0.01;r positive refocusing=-0.476,r planning=-0.0254,r positive reapprasial=-0.363,r putting into perspective=-0.492,p<0.01);stressing life events and negative cognitive emotion and depression related positively to suicide i-deation(r LES=0.482.r self-blame=0.438,r acceptance=0.338,r rumination=0.378,r catastrophizing=0.457,r depression=0.724,p<0.01) , and positive cognitive emotion related negatively to it(r positive refocusing=-0.319,r putting into perspective=-0.326,p<0.01). The outcome of correlate analysis was similar in different nationalities. Stressing life events and catastrophizing and other-blame contributed more to depression than other factors in minority nationality group, and only the former two factors contributed to depression in Han nationality group. In both two groups, depression contributed more to suicide ideation than others. Conclusions Stressing rife events and negative cognitive emotion regulation have a significant effect on the development of depression, and the severity of depression is a critical factor to suicide ideation. There is no significant difference about above outcome between different nationalities.