有无自杀意念抑郁症患者抑郁情绪、认知应对策略及应激的比较研究

目的:探讨有无自杀意念抑郁症患者抑郁情绪、认知应对策略及应激性生活事件的差异。方法:对143例抑郁症患者进行自编一般情况问卷、Beck抑郁自评量表(BDI)、认知情绪调节问卷中文版(CERQ-C)评定。结果:有自杀意念抑郁症发作患者BDI总分、婚姻家庭应激及社会生活应激分及CERQ-C适应性策略与不适应性策略总分显著高于无自杀意念抑郁症患者(P<0.05或P<0.01)。有自杀意念抑郁症患者抑郁总分与工作学习应激、婚姻家庭应激、社会生活应激及CERQ-C不适应性策略分呈显著正相关(r=0.569,0.470,0.341,0.303,P<0.05或P<0.01);无自杀意念抑郁症患者抑郁总分仅与婚姻家庭应激呈显著正相关(r=0.361,P<0.01)。结论:有自杀意念较无自杀意念抑郁症患者经历更多的负性生活事件,存在更严重的抑郁情绪,较多地采用认知应对策略。

A comparison study on depressive mood, cognitive coping strategies and stress between depressive patients with and without suicide ideation

Objective:To study the difference on depressive mood,cognitive coping strategies and stress between depressive patients with and without suicide ideation.Method:A total of 143 depressive patients were assessed with a self-designed questionnaire,Beck depression inventory(BDI) and the Chinese version of dognitive emotion regulation questionnaire(CERQ-C).Results:Compared with depressive patients without suicide ideation,depressive patients with suicide ideation showed higher scores in total score of BDI,work stress,domestic stress,social life stress and maladaptive strageies(P<0.05 or P<0.01).The total score of BDI showed positive correlation to scores of work sress,domestic stress,social life stress and maladaptive strageies in depression patients with suicide ideation(r=0.569,0.470,0.341,0.303,P<0.05 or P<0.01),while the total score of BDI only showed positive correlation to scores of domestic stress(r= 0.361,P<0.01).Conclusion:Depressive patients with suicide ideation suffered from severer negative life events and depressive mood,and take more maladaptive cognitive coping strageies.