抑郁症患者治疗前后应付方式变化特征的研究

目的 了解抑郁痖患者治疗前、后应付方式的变化及其与临床特征的关系。方法 采用应付方式问卷，评定78例抑郁症患者治疗前、后应付方式的改变，并与86例正常对照比较，用HAMD评定疾病的严重程度和疗效。结果 抑郁症患者退避、自责的因子分显著高于正常对照组，求助、解决问题的因子分显著低于对照组。治疗后，退避、自责的因子分降低，与正常对照差异无显著性；求助、解决问题的因子分升高，但仍低于对照组，幻想、合理化的因子分治疗前后差异无显著性，均低于对照组。治疗有效者的退避、自责的因子分低于治疗无效者，而求助、解决问题的因子分高于后者。HAMD的减分率与治疗后退避、自责的因子分呈负相关，与求助、解决问题的因子分呈正相关。结论 抑郁症治疗前后应付方式发生改变，退避、自责、求助、解决问题的应付方式与疾病的变化有关，幻想、合理化的应付方式在抑郁症患者中具有相对稳定性，不同疗效的忠者采用的应付方式不同。

The variety of coping styles in patients with depression pretreatment and post treatment

Objective To understanding the variety of coping styles in patients with depression pretreatment and post treatment, and the relationship between coping styles and clinical efficacy.Method The Coping Styles Questionnaire and Hamilton Depression Scale (HAMD) were used in 78 patients with depression pretreatment and post treatment and 86 healthy control. Results The factor scores of withdrawal and self-accusation in patients were significantly higher than those of controls, and the factor scores of help-seeking and problem-solving were significantly lower than controls. After treatment, the factor scores of withdrawal and self-accusation were decreased significantly, which were not different significantly between patients and controls. Although the factor scores of help-seeking and problem-solving in patients were increased after treatment, they were significantly lower than those of controls. The factor scores of fancying and rationalization in patients were not change significantly from pretreatment to post treatment, which were not different significantly from controls. The factor scores of withdrawal and self-accusation in effective patients were lower than those of ineffective patients, but the scores of help-seeking and problem-solving in formers were higher than those of later. The reduce rate of HAMD were negative correlation to the factor scores of withdrawal and self-accusation, and positive correlation to the factor scores of help-seeking and problem-solving. Conclusions There were changes in coping styles of depressive patients from pretreatment to post treatment. Withdrawal, self-accusation, help-seeking and problem-solving coping were relate to the variety of depression. At the same time, the fancying and rationalization coping were steady in depression. The patients of different treatment efficacy applied different coping styles.