中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
27期
11-14
,共4页
应激%抑郁症%人格%应对%自动思维%功能失调性认知
應激%抑鬱癥%人格%應對%自動思維%功能失調性認知
응격%억욱증%인격%응대%자동사유%공능실조성인지
Stress%Depression%Personality%Coping%Automatic thinking%Dysfunctional attitude
目的：探讨首发女性抑郁症患者自动思维与抑郁症相关的应激因素之间存在交互作用。方法选取住院的60例首发女性抑郁症患者，经过自动思维问卷、功能失调性态度问卷、社会支持量表、应付方式问卷及YG性人格测验测评，用Spearman相关分析及路径分析方法，分析自动思维与抑郁症相关的应激因素在首发女性抑郁症患者发病过程中的相互作用。结果①自动思维总分与抑郁/焦虑总分、功能失调性认知总分、脆弱性、吸引和排斥、完美化和自主性态度等因子分呈正相关(P<0.05或P<0.01)。②自动思维总分与十二种性格中的自卑感、神经质、缺乏客观性和非合作性因子分呈正相关，与支配性、社会内外向性因子分呈负相关(P<0.05或P<0.01)。③自动思维和自责、合理化呈正相关，自动思维和社会支持总分、主观支持呈负相关(P<0.05或P<0.01)。④路径分析表明：自动思维对抑郁有直接预测作用；神经质、完美化、自责、焦虑通过自动思维对抑郁有间接预测作用；主观支持对自动思维有负向预测作用，且通过自动思维对抑郁有间接预测作用(P<0.05或P<0.01)。结论自动思维与抑郁症相关的应激因素之间存在交互作用，在开展抑郁症的心理治疗时需要综合考虑这些因素。
目的：探討首髮女性抑鬱癥患者自動思維與抑鬱癥相關的應激因素之間存在交互作用。方法選取住院的60例首髮女性抑鬱癥患者，經過自動思維問捲、功能失調性態度問捲、社會支持量錶、應付方式問捲及YG性人格測驗測評，用Spearman相關分析及路徑分析方法，分析自動思維與抑鬱癥相關的應激因素在首髮女性抑鬱癥患者髮病過程中的相互作用。結果①自動思維總分與抑鬱/焦慮總分、功能失調性認知總分、脆弱性、吸引和排斥、完美化和自主性態度等因子分呈正相關(P<0.05或P<0.01)。②自動思維總分與十二種性格中的自卑感、神經質、缺乏客觀性和非閤作性因子分呈正相關，與支配性、社會內外嚮性因子分呈負相關(P<0.05或P<0.01)。③自動思維和自責、閤理化呈正相關，自動思維和社會支持總分、主觀支持呈負相關(P<0.05或P<0.01)。④路徑分析錶明：自動思維對抑鬱有直接預測作用；神經質、完美化、自責、焦慮通過自動思維對抑鬱有間接預測作用；主觀支持對自動思維有負嚮預測作用，且通過自動思維對抑鬱有間接預測作用(P<0.05或P<0.01)。結論自動思維與抑鬱癥相關的應激因素之間存在交互作用，在開展抑鬱癥的心理治療時需要綜閤攷慮這些因素。
목적：탐토수발녀성억욱증환자자동사유여억욱증상관적응격인소지간존재교호작용。방법선취주원적60례수발녀성억욱증환자，경과자동사유문권、공능실조성태도문권、사회지지량표、응부방식문권급YG성인격측험측평，용Spearman상관분석급로경분석방법，분석자동사유여억욱증상관적응격인소재수발녀성억욱증환자발병과정중적상호작용。결과①자동사유총분여억욱/초필총분、공능실조성인지총분、취약성、흡인화배척、완미화화자주성태도등인자분정정상관(P<0.05혹P<0.01)。②자동사유총분여십이충성격중적자비감、신경질、결핍객관성화비합작성인자분정정상관，여지배성、사회내외향성인자분정부상관(P<0.05혹P<0.01)。③자동사유화자책、합이화정정상관，자동사유화사회지지총분、주관지지정부상관(P<0.05혹P<0.01)。④로경분석표명：자동사유대억욱유직접예측작용；신경질、완미화、자책、초필통과자동사유대억욱유간접예측작용；주관지지대자동사유유부향예측작용，차통과자동사유대억욱유간접예측작용(P<0.05혹P<0.01)。결론자동사유여억욱증상관적응격인소지간존재교호작용，재개전억욱증적심리치료시수요종합고필저사인소。
Objective To investigate the interaciton of automatic thoughts and stress factors related depression in fe-male patients with first-episode depressive disorder. Methods The 60 female patients with first-episode depression were enrolled and assessed by Hamilton Depression Rating Scale(HAMD),Hamilton anxiety scale(HAMA),Automatic thought questionnaire (ATQ), Dysfunctional attitude scale (DAS),ways of coping, the social support scale and Y-G Personality Questionnaire. Spearman correlation analysis and path analysis were used to analyse the interaciton of auto-matic thoughts and stress factors related depression. Results ①Automatic thoughts, depression,anxiety and dysfunc-tional cognition were positively correlated each other. Automatic thoughts and vulnerability, attraction and repulsion ,perfection and autonomy attitude were positively correlated (P<0.05 or P<0.01). ②Automatic thinking and feeling of inferiority, nervosity, lack of objectivity and non cooperative were positively correlated,while dominant, social in-side and outside were negatively correlated. The differences were statistically significant(P<0.05 or P< 0.01). ③Au-tomatic thoughts and blame, rationalization were positively correlated, while automatic thoughts, total score of social support and subjective support were negatively correlated. ④Path analysis showed that automatic thoughts predicted depression directly; nervosity, the perfection, blame, anxiety predicted depression indirectly through the automatic thoughts; subjective support acted on automatic thinking as negatively predicator, and predicted depression indirectly through the automatic thoughts (P<0.05 or P<0.01). Conclusion Interaction existed among automatic thoughts and stress factors of depression related. When making the psychological treatment of depression,we should be considered these factors.
