CAJ | 학술논문

目的：探讨药物治疗和心理干预对抑郁症患者认知偏差及应对方式的影响。方法选择2012年4月至2013年4月山西医科大学第一医院收治的66例抑郁症患者为研究组，分别于住院当日和出院当日评定汉密尔顿抑郁量表（HAMD）、自动思维问卷（ATQ）、功能失调性态度问卷（DAS）、简易应对方式问卷和正性负性情绪量表，并与70名健康志愿者（对照组）进行比较。结果（1）研究组住院前后 HAMD 总分、ATQ 总分、消极应对方式、积极应对方式、正性情绪及负性情绪差异均有统计学意义（P<0.05）。（2）研究组住院前 HAMD 总分、ATQ 总分、DAS 总分及除脆弱性和强制性外的各维度、消极应对方式、积极应对方式、正性情绪及负性情绪与对照组差异均有统计学意义（P<0.05）；研究组住院后 HAMD 总分、ATQ 总分、DAS 总分及除完美化的各维度、消极应对方式、积极应对方式及负性情绪与对照组差异均有统计学意义（P<0.05）。结论抑郁症患者存在认知偏差及应对方式障碍，药物治疗和心理干预对抑郁症患者的认知偏差及应对方式具有积极意义。
목적：탐토약물치료화심리간예대억욱증환자인지편차급응대방식적영향。방법선택2012년4월지2013년4월산서의과대학제일의원수치적66례억욱증환자위연구조，분별우주원당일화출원당일평정한밀이돈억욱량표（HAMD）、자동사유문권（ATQ）、공능실조성태도문권（DAS）、간역응대방식문권화정성부성정서량표，병여70명건강지원자（대조조）진행비교。결과（1）연구조주원전후 HAMD 총분、ATQ 총분、소겁응대방식、적겁응대방식、정성정서급부성정서차이균유통계학의의（P<0.05）。（2）연구조주원전 HAMD 총분、ATQ 총분、DAS 총분급제취약성화강제성외적각유도、소겁응대방식、적겁응대방식、정성정서급부성정서여대조조차이균유통계학의의（P<0.05）；연구조주원후 HAMD 총분、ATQ 총분、DAS 총분급제완미화적각유도、소겁응대방식、적겁응대방식급부성정서여대조조차이균유통계학의의（P<0.05）。결론억욱증환자존재인지편차급응대방식장애，약물치료화심리간예대억욱증환자적인지편차급응대방식구유적겁의의。
Objective To investigate the effects of medication and psychological interventions in patients with depression on cognitive bias and coping style. Methods From April 2012 to April 2013,66 patients with depression(research group) were measured with Hamilton depression scale(HAMD),automatic thoughts questionnaire(ATQ),dysfunctional attitudes scales(DAS), coping style questionnaire and positive affect and negative affect scale(PANAS)before and after treatment. 70 normal controls (control group) were measured. Results 1.T test showed that, research group with HAMD total score, ATQ total score, negative coping style, positive coping style, positive affect and negative affect were significantly different before and after treatment(P<0.05). 2.T test showed that, before treatment, research group with HAMD total score, ATQ total score, DAS total score and every dimension except frangibility and mandatory, negative coping style, positive coping style, positive affect and negative affect were significantly different with the control group(P<0.05). After treatment, research group with HAMD total score, ATQ total score, DAS total score and every dimension except consummation, negative coping style, positive coping style and negative affect were significantly different with the control group. Conclusion The results showed that cognitive bias and coping style dysfunction exists in patients with depression, psychological intervention is benefited for cognition bias and coping style.