CAJ | 학술논문

目的：探讨抑郁障碍伴慢性功能性疼痛患者的认知特征。方法将32名抑郁障碍伴慢性功能性疼痛患者设为研究组，49名非抑郁障碍慢性功能性疼痛患者设为对照组，采用自动思维问卷、功能失调性态度问卷和疼痛应对方式问卷对两组患者的自动思维、功能失调性态度、疼痛应对方式进行测评分析。结果研究组自动思维问卷总均分、功能失调性态度问卷的7个因子分均显著高于对照组（P＜0．01），认知哲学因子分显著低于对照组（P＜0．01）；疼痛应对方式问卷的灾难化、祈祷因子分均显著高于对照组（P＜0．01），转移注意力因子分显著低于对照组（P＜0．05）。结论抑郁障碍伴慢性功能性疼痛患者存在显著的负性自动思维和功能失调性态度，对躯体疼痛症状更多地采用消极应对方式。
목적：탐토억욱장애반만성공능성동통환자적인지특정。방법장32명억욱장애반만성공능성동통환자설위연구조，49명비억욱장애만성공능성동통환자설위대조조，채용자동사유문권、공능실조성태도문권화동통응대방식문권대량조환자적자동사유、공능실조성태도、동통응대방식진행측평분석。결과연구조자동사유문권총균분、공능실조성태도문권적7개인자분균현저고우대조조（P＜0．01），인지철학인자분현저저우대조조（P＜0．01）；동통응대방식문권적재난화、기도인자분균현저고우대조조（P＜0．01），전이주의력인자분현저저우대조조（P＜0．05）。결론억욱장애반만성공능성동통환자존재현저적부성자동사유화공능실조성태도，대구체동통증상경다지채용소겁응대방식。
Objective To explore cognitive characteristics of depression patients with chronic functional pain (CFP) .Methods Thirty-two depression patients with CFP were assigned to research group and 49 non-depression patients to control group ,assessments conducted with the Automatic Thought Question-naire (ATQ) ,Dysfunctional Attitude Sales (DAS) and Pain Coping Style Questionnaire (PCSQ) .Results Total average score of the ATQ and 7 factors of the DAS were significantly higher (P<0 .01) and cogni-tive philosophy lower (P<0 .01) in research than control group ;catastrophe and prayer of the PCSQ were significantly higher (P< 0 .01) and attention distracting lower (P< 0 .05) .Conclusion Depression pa-tients with CFP have notable negative automatic thoughts and dysfunctional attitudes and they adopt cop-ing style for body pain symptoms even more .