童年期心理创伤对抑郁症患者情绪调节策略、述情障碍的影响

目的 探究童年期心理创伤对抑郁症患者情绪调节策略和述情障碍的影响.方法 纳入抑郁症患者(n=78)和正常对照被试者(n=80),采用童年期创伤量表、情绪调节量表、多伦多述情障碍量表对两组测评.结果 ①相比对照组,抑郁症组较少采用认知重评策略(P＜0.01),存在明显的述情障碍(P＜0.01),童年期情感虐待、情感忽视、躯体忽视经历较高(P＜0.01,P＜0.05);②相关分析中,认知重评和性虐待、情感忽视呈显著的负相关性(P＜0.05);述情量表总分和情感虐待、性虐待呈显著正相关性(P ＜0.05,P＜0.01),外向型思维与性虐待呈显著正相关性(P＜0.01).结论 抑郁症患者存在情绪调节功能失调和述情障碍,可能与童年期心理创伤有关.

Study on childhood psychological trauma impact on the emotion regulation and alexithymia of patients with depression

Objective To investigate the childhood psychological trauma impact on the relationship among emotion regulation and alexithymia of patients with depression.Methods 78 patients with depression and 80 healthy controls matched for age,gender and education were recruited.Use ERQ,TAS-20 and CQT-SF to measure patients with depression and healthy.Results ① Compared tocontrols,depression showed significantly lower in factors of emotion reappraisal (P ＜ 0.01),higher scores in total and F1,F2,F3 (P ＜ 0.01),significantly higher in factors of emotion abuse,emotion neglect,physical neglect(P ＜ 0.01,P ＜ 0.05);② In depression group,emotion reappraisal had high negative correlation with emotion neglect and sexual abuse (P ＜ 0.05).TAS-20 total scores showed high positive correlation with emotion abuse and sexualabuse (P ＜ 0.05,P ＜ 0.01),F3 scores showed high positive correlation with sexual abuse(P ＜0.01).Conclusion Depressive patients show emotional regulation disorder and alexithymia is correlated with child psychological trauma.