医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2014年
4期
63-65
,共3页
江家靖%郭文斌(通讯作者)
江傢靖%郭文斌(通訊作者)
강가정%곽문빈(통신작자)
神经症%抑郁%多元线性回归分析%路径分析
神經癥%抑鬱%多元線性迴歸分析%路徑分析
신경증%억욱%다원선성회귀분석%로경분석
neurosis%depression%multiple linear regression%path analysis
目的：对神经症患者抑郁影响因素进行多元线性回归和路径分析，探讨影响抑郁的因素与作用机制。方法应用流调中心用抑郁量表、自动思维问卷、儿童期经历问卷、ZUNG焦虑自评量表、简易应对方式量表、自尊量表、攻击行为量表和社会支持量表对55例在广西医科大学第一附属医院开放病房住院且经专科医生确诊为神经症患者抑郁的影响因素进行调查与测评。同时应用多元线性回归和路径分析方法调查应对方式、生活事件及社会支持等在抑郁中的影响程度与作用模式，分析各影响因素对抑郁的作用机制。结果神经症患者抑郁的主要影响因素有：压力反应、自动思维、生活事件、主观支持、客观支持、积极应对与消极应对，各因素对抑郁的影响程度各不相同；自动思维、应对风格直接影响抑郁，社会支持对抑郁的直接影响不具显著性意义，生活事件以应对风格为中介，间接影响抑郁。结论神经症患者抑郁的发生与生活事件、心理应对方式和社会支持等多种因素相关，多元线性回归和路径分析在探讨抑郁的发生机制过程中分别发挥作用，结果互相补充。
目的：對神經癥患者抑鬱影響因素進行多元線性迴歸和路徑分析，探討影響抑鬱的因素與作用機製。方法應用流調中心用抑鬱量錶、自動思維問捲、兒童期經歷問捲、ZUNG焦慮自評量錶、簡易應對方式量錶、自尊量錶、攻擊行為量錶和社會支持量錶對55例在廣西醫科大學第一附屬醫院開放病房住院且經專科醫生確診為神經癥患者抑鬱的影響因素進行調查與測評。同時應用多元線性迴歸和路徑分析方法調查應對方式、生活事件及社會支持等在抑鬱中的影響程度與作用模式，分析各影響因素對抑鬱的作用機製。結果神經癥患者抑鬱的主要影響因素有：壓力反應、自動思維、生活事件、主觀支持、客觀支持、積極應對與消極應對，各因素對抑鬱的影響程度各不相同；自動思維、應對風格直接影響抑鬱，社會支持對抑鬱的直接影響不具顯著性意義，生活事件以應對風格為中介，間接影響抑鬱。結論神經癥患者抑鬱的髮生與生活事件、心理應對方式和社會支持等多種因素相關，多元線性迴歸和路徑分析在探討抑鬱的髮生機製過程中分彆髮揮作用，結果互相補充。
목적：대신경증환자억욱영향인소진행다원선성회귀화로경분석，탐토영향억욱적인소여작용궤제。방법응용류조중심용억욱량표、자동사유문권、인동기경력문권、ZUNG초필자평량표、간역응대방식량표、자존량표、공격행위량표화사회지지량표대55례재엄서의과대학제일부속의원개방병방주원차경전과의생학진위신경증환자억욱적영향인소진행조사여측평。동시응용다원선성회귀화로경분석방법조사응대방식、생활사건급사회지지등재억욱중적영향정도여작용모식，분석각영향인소대억욱적작용궤제。결과신경증환자억욱적주요영향인소유：압력반응、자동사유、생활사건、주관지지、객관지지、적겁응대여소겁응대，각인소대억욱적영향정도각불상동；자동사유、응대풍격직접영향억욱，사회지지대억욱적직접영향불구현저성의의，생활사건이응대풍격위중개，간접영향억욱。결론신경증환자억욱적발생여생활사건、심리응대방식화사회지지등다충인소상관，다원선성회귀화로경분석재탐토억욱적발생궤제과정중분별발휘작용，결과호상보충。
Objective: To explore the influencing factors and mechanism of depressive neurosis by multiple linear regression and path analysis. Methods: 55 cases of depressive neurosis in open wards of our hospital were investigated. CES-D, ATQ, CTQ, SAS, SCSQ and SSRS were used to explore the influencing factors of depressive neurosis. Multiple linear regression and path analysis were used to probe the influence of depression with life events, coping style and social support. Role model of the main factors was analyzed in this study. Results: Stress response, automatic thoughts, life events, subjective support, objective support, and actively or negative coping were main factors of depressive neurosis. The influences of various factors on depression were different. Automatic thoughts and coping style could induce depression through a direct way. Social support had no direct relation to depression whose path coefficients was not statistical y significant. Life events could influence the occurrence of depression through indirect channels (mediated by coping style). Conclusions: The occurrence of depression is a combined effect of life events, coping style and social support. Multiple regression analysis and path analysis have their own effect in exploring the mechanism of depression. The results can be mutual y complementary to each other.
