抑郁症与抑郁/焦虑共病患者的人格特征及社会支持对比研究

目的 探讨抑郁症与抑郁/焦虑共病患者的人格特征及社会支持的特点及与正常人的差异.方法 对同时符合美国精神疾病和统计手册第四版(DSM-IV)抑郁障碍和焦虑障碍诊断标准的36例患者(共病组)与33例仅符合抑郁障碍诊断者(抑郁症组)分别进行艾森克个性问卷(EPQ)和社会支持评定量表(SSRS)评定,并与30名正常人(正常组)对照,然后进行对比分析.结果 共病组和抑郁症组的EPQ-N、L因子分均高于正常组,EPQ-E因子分低于正常组,差异有显著性(P《0.05或P《0.01),SSRS总分及主观支持和对支持利用度两个因子分均低于正常组(P《0.05或P《0.01).共病组与抑郁症组的EPQ和SSRS总分及因子分组间差异无显著性(P》0.05).结论 抑郁症与抑郁/焦虑共病患者均具有神经质、内向和过度掩饰的个性特征,需要更多的社会支持.

A controlled study on personality trait and social support of patients with depression and with comorbidity of depression and anxiety disorder

Objective To explore the personality trait and social support of patients with depression and of those with comorbidity of depression and anxiety disorder.Methods Totally 36 cases with depression(the depression group)and 33 cases with depression and anxiety disorder(the comorbidity group)met of Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition(DSM-IV)were assessed with Eysenck personality questionnaire(EPQ)and were evaluated with social support rating scale(SSRS).The data were compared with 30 healthy(the normal group).Results The N and L factor scores of EPQ in both depression group and comorbidity group showed significantly higher than those in the normal group and E factor scores of EPQ showed significantly lower(P<0.05 or P<0.01).Both in depression group and comorbidity group,the total score of SSRS,subjective support and the degree of using support showed significantly lower than those in the normal group(P<0.05 or P<0.01).Conclussion Patients with depression and those with comorbidity of depression and anxiety disorder tended to be characterized by neuroticism,introversion and over reliabliity,and needed more emotionally social support.