中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2013年
8期
719-721
,共3页
杨祥英%蒙华庆%胡华%雍那%黄庆玲%杜莲
楊祥英%矇華慶%鬍華%雍那%黃慶玲%杜蓮
양상영%몽화경%호화%옹나%황경령%두련
抑郁症%依赖%自我批评%虐待%人格特质
抑鬱癥%依賴%自我批評%虐待%人格特質
억욱증%의뢰%자아비평%학대%인격특질
Major depression%Self-criticism%Dependency%Abuse%Personality traits
目的 探讨抑郁症患者依赖、自我批评人格特质与童年期虐待经历及抑郁症状的关系.方法 采用病例对照研究,抑郁症组与正常对照各入组80例.采用汉密尔顿抑郁量表(HAMD)、抑郁体验问卷(DEQ)及儿童虐待问卷(CTQ)对其进行分别评估.结果 抑郁患者人格特质中依赖[(90.77±14.54)分]和自我批评[(68.00±15.02)分]均高于对照组[分别为:(77.96±11.81)分,(50.02±10.38)分],差异有统计学意义(P<0.05).依赖与躯体虐待、情感忽视、躯体忽视及虐待总分呈显著正相关(P<0.05).自我批评则与情感虐待、躯体虐待、情感忽视、躯体忽视及虐待总分均呈显著正相关(P<0.05).逐步多元线性回归分析显示,依赖、自我批评可直接预测抑郁症状[分别为(β=0.283,P<0.05)、(β=0.284,P<0.05)],情感虐待通过依赖、自我批评的中介作用影响抑郁症状.结论 情感虐待对抑郁的影响可以通过依赖和自我批评人格特质间接发生作用,依赖、自我批评人格特质在情感虐待和抑郁之间起中介作用.
目的 探討抑鬱癥患者依賴、自我批評人格特質與童年期虐待經歷及抑鬱癥狀的關繫.方法 採用病例對照研究,抑鬱癥組與正常對照各入組80例.採用漢密爾頓抑鬱量錶(HAMD)、抑鬱體驗問捲(DEQ)及兒童虐待問捲(CTQ)對其進行分彆評估.結果 抑鬱患者人格特質中依賴[(90.77±14.54)分]和自我批評[(68.00±15.02)分]均高于對照組[分彆為:(77.96±11.81)分,(50.02±10.38)分],差異有統計學意義(P<0.05).依賴與軀體虐待、情感忽視、軀體忽視及虐待總分呈顯著正相關(P<0.05).自我批評則與情感虐待、軀體虐待、情感忽視、軀體忽視及虐待總分均呈顯著正相關(P<0.05).逐步多元線性迴歸分析顯示,依賴、自我批評可直接預測抑鬱癥狀[分彆為(β=0.283,P<0.05)、(β=0.284,P<0.05)],情感虐待通過依賴、自我批評的中介作用影響抑鬱癥狀.結論 情感虐待對抑鬱的影響可以通過依賴和自我批評人格特質間接髮生作用,依賴、自我批評人格特質在情感虐待和抑鬱之間起中介作用.
목적 탐토억욱증환자의뢰、자아비평인격특질여동년기학대경력급억욱증상적관계.방법 채용병례대조연구,억욱증조여정상대조각입조80례.채용한밀이돈억욱량표(HAMD)、억욱체험문권(DEQ)급인동학대문권(CTQ)대기진행분별평고.결과 억욱환자인격특질중의뢰[(90.77±14.54)분]화자아비평[(68.00±15.02)분]균고우대조조[분별위:(77.96±11.81)분,(50.02±10.38)분],차이유통계학의의(P<0.05).의뢰여구체학대、정감홀시、구체홀시급학대총분정현저정상관(P<0.05).자아비평칙여정감학대、구체학대、정감홀시、구체홀시급학대총분균정현저정상관(P<0.05).축보다원선성회귀분석현시,의뢰、자아비평가직접예측억욱증상[분별위(β=0.283,P<0.05)、(β=0.284,P<0.05)],정감학대통과의뢰、자아비평적중개작용영향억욱증상.결론 정감학대대억욱적영향가이통과의뢰화자아비평인격특질간접발생작용,의뢰、자아비평인격특질재정감학대화억욱지간기중개작용.
Objective To explore the correlation of personality traits of dependence,self-criticism and childhood abuse in patients with major depression.Methods As a case-control study,80 patients with major depression and 80 normal controls took apart in this study.They were separately evaluated by Hamilton Depression Scale (HAMD),depressive experiences questionnaire (DEQ) and child abuse questionnaire (CTQ).Results Each factor scores of dependency (90.77 ± 14.54) and self-criticism (68.00 ± 15.02) in patients with major depression were significantly higher than that in normal control group (77.96 ± 11.81,50.02 ± 10.38,P<0.05).Dependence was significantly positive correlated with physical abuse,emotional neglect and physical neglect (P <0.05); and self-criticism were significantly positive correlated with emotional abuse,physical abuse,emotional neglect and physical neglect (P< 0.05).Stepwise multiple linear regression analysis showed that dependence,selfcriticism could directly predict depressive symptoms respectively (β =0.283,P < 0.05),(β =0.284,P < 0.05),and emotional abuse could affect depressive symptoms by intermediation of dependency and self-criticism.Conclusion Emotional abuse can impact on depressive symptoms indirectly by dependent and self-criticism personality traits which suggest personality traits of dependency and self-criticism probably play an intermediate effect role between childhood abuse and major depression.