CAJ | 학술논문

目的探索复发性抑郁症与首发抑郁症患者过度概括化自传体记忆(OGM)的差异,以及过度概括化自传体记忆对抑郁症状的影响.方法对34例首发性抑郁症患者以及31例复发性抑郁症患者,采用自传体记忆测评(autobiographical memory test,AMT)评定过度概括化自传体记忆水平、汉密尔顿抑郁量表测评(HAMD-17)及贝克抑郁量表(BDI)评定抑郁严重程度.结果 ①复发性抑郁症组OGM总分显著高于首发抑郁症组[分别为(3.90± 1.65)分,(3.10±1.57)分,t=2.035,P＜0.05];②复发性抑郁症组积极线索词诱导的OGM总分显著高于首发抑郁症组[分别为(2.40± 1.36)分,(1.70±1.08)分,t=2.308,P＜0.05];③OGM与BDI总分、HAMD总分以及认知障碍因子、迟缓因子呈高度的正相关性(r=0.497,P＜0.05;r=0.552,P＜0.05;r=0.631,P＜0.05;r=0.553,P＜0.05).结论与首发性抑郁症患者相比,复发性抑郁症患者的OGM更为严重,抑郁症患者的OGM亦能够增加抑郁症的复发频率,加重认知障碍、迟缓症状.
목적 탐색복발성억욱증여수발억욱증환자과도개괄화자전체기억(OGM)적차이,이급과도개괄화자전체기억대억욱증상적영향.방법 대34례수발성억욱증환자이급31례복발성억욱증환자,채용자전체기억측평(autobiographical memory test,AMT)평정과도개괄화자전체기억수평、한밀이돈억욱량표측평(HAMD-17)급패극억욱량표(BDI)평정억욱엄중정도.결과 ①복발성억욱증조OGM총분현저고우수발억욱증조[분별위(3.90± 1.65)분,(3.10±1.57)분,t=2.035,P＜0.05];②복발성억욱증조적겁선색사유도적OGM총분현저고우수발억욱증조[분별위(2.40± 1.36)분,(1.70±1.08)분,t=2.308,P＜0.05];③OGM여BDI총분、HAMD총분이급인지장애인자、지완인자정고도적정상관성(r=0.497,P＜0.05;r=0.552,P＜0.05;r=0.631,P＜0.05;r=0.553,P＜0.05).결론 여수발성억욱증환자상비,복발성억욱증환자적OGM경위엄중,억욱증환자적OGM역능구증가억욱증적복발빈솔,가중인지장애、지완증상.
Object To explore the difference of overgeneral autobiographical memory (OGM) between first-episode and recurrent depressive patients,and whether the overgeneral autobiographical memory can affect the symptoms of depression or not.Methods 34 first-episode depression patients and 31 recurrent depression patients were enrolled.All patients were measured by autobiographical memory test (AMT),Hamilton Depression Scale-17 (HAMD-17) and Beck depression rating scale(BDI).Results ①The OGM score was higher in recurrent depressive group than that in first-episode group (respectively,(3.90 ± 1.65),(3.10± 1.57),t =2.035,P＜0.05).②The positive OGM score was higher in recurrent depressive group than that in first-episode group(respectively,(2.40± 1.36),(1.70± 1.08),t =2.308,P＜ 0.05).③The correlation coefficient (r value) between the total score of OGM and total score of BDI,total score of HAMD,two subfactors (cognitive disorder and slow)scores of HAMD in recurrent depressive group were 0.497,0.552,0.631,and 0.553 respectively,which significantly correlated.Conclusion Compared with first-episode depressive patients,the OGM in recurrent depressive patients is more severe.The OGM can increase the symptoms of depression,the cognitive disorder and slow.