抑郁症完美主义心理及应付方式的病例对照研究

目的 探讨抑郁症患者的完美主义心理特点及与应付方式之间的关系.方法 在本病例对照研究中,选取65例符合ICD- 10精神与行为障碍分类中抑郁症诊断标准的门诊或住院患者及65例按照性别、年龄、受教育程度进行配比的无精神障碍的志愿者,用中文Frost多维度完美主义问卷、应付方式问卷对其进行问卷调查.结果 病例组在完美主义总分(90.05±17.48)分vs(68.01±10.23)分、担心错误(24.46±7.40)分Vs(12.38±5.07)分、行动的疑虑(14.89±3.79)分vs(8.26±3.03)分、父母期望(12.45±4.24)分Vs(8.76±4.01)分、退避(0.61±0.26)分Vs(0.27±0.24)分、幻想(0.49±0.24)分Vs(0.32±0.15)分和自责(0.56±0.26)分Vs(0.29±0.14)分上得分高于对照组(P＜0.05),而在求助(0.33±0.14)分Vs(0.52±0.23)分、解决问题(0.28±0.13)分vs分(0.59±0.27)上得分低于对照组(均P＜0.05).完美主义总分与退避、自责正相关(r=0.58,0.48,P＜0.01),与求助、解决问题负相关(r =-0.55,-0.55,P＜0.01).结论 抑郁症患者可能比正常人更追求完美,更多使用不成熟的应付方式.

A case-control study of perfectionism and coping style in major depression

Objective To explore perfectionism and coping style of patients with major depression and their relationship. Methods A case--control study was implemented. 65 inpatients or outpatients who met ICD--10 criteria for major depression and 65 controls without mental disorder were recruited, matched by gender,age（±3）,and education background. Chinese Frost Multidimensional Perfectionism Scale （CFMPS） and Coping Style Questionnaire were self--reported by the subjects. Results The patient group had higher scores in total score of CFMPS -（90. 05±17.48）vs. （68. 01±10.23）], concern o- ver mistakes（24.46± 7. 40） vs. （12.38±5.07）], doubts about actions （14. 89±3. 79） vs. （8.26 ± 3.03）],parental expectations -（12. 45±4. 24）vs. （8. 76±4.01）],escape E（0. 61± 0. 26）vs. （0. 27± 0.24）],fantasy （0. 49±0.24）vs. （0. 32±0. 15）] and self--accusation E（0. 56±0.26）vs. （0. 29± 0.14）] than the control group （P 〈 0.05）. The patient group had lower scores in seeking help in turn （0. 33±0.14）vs. （0. 52±0.23）], solving problems （0.28±0.13）vs. （0. 59±0.27）] than the control groups （P 〈0.05）. The total score of CFMPS had positive relationship with escape and self--accusation （r =0.58, P 〈 0.01;r =0.48, P 〈0.01） and negative relationship with seeking help in turn and solving problems （r =--0.55,P〈 0.01;r=-0.55,P〈 0.01）. Conclusions Compared to normal subjects,the patients with major depression may desire to achieve higher standards of performance and make excessive use of the immature coping styles.