抑郁症患者童年期虐待与自我病耻感水平的相关性研究

目的探讨抑郁症患者童年期虐待经历特点,并探讨其与患者自我病耻感水平的相关性。方法选择合肥市第四人民医院2015年2月-2016年5月符合ICD-10诊断标准的171例抑郁症患者进行精神疾病患者自我病耻感量表、童年期虐待问卷、贝克抑郁量表评估,并对200例正常被试者进行童年期虐待问卷评估。结果①抑郁症患者在童年期虐待问卷各维度得分及总分上均显著高于正常对照组(均P<0.05)。②抑郁症患者童年期虐待问卷中情感虐待因子得分与患者发病年龄呈显著负相关(r=-0.243,P<0.05)。③抑郁症患者贝克抑郁量表得分与自我病耻感量表各因子得分及总分均呈显著正相关(r=0.246~0.603,均P<0.05),与童年期虐待问卷中的情感忽视因子、躯体忽视因子及总分呈显著正相关(r=0.424~0.453,均P<0.01)。④抑郁症患者童年期虐待问卷躯体虐待因子、情感忽视因子、躯体忽视因子得分及总分均与患者自我病耻感中受歧视因子、积极效应因子及总分均呈显著正相关(r=0.261~0.413,均P<0.05)。结论抑郁症患者较正常被试者有更多的童年期虐待经历,且会对自我病耻感体验产生负面影响。

The correlational study between childhood trauma and self-stigma in depression

Objective To investigate the characteristic of childhood trauma in depression,and to explore the relationship between childhood trauma and self-stigma in depression. Methods A total of 171 patients with depression in accordance with ICD-10 diagnostic criteria were assessed with Childhood Trauma Questionnaire (CTQ), Stigma Scale for Mental Illness (SSMI-C) and Beck Depression Inventory (BDI). A total of 200 healthy controls were assessed with CTQ. Results ① Compared with health controls, the depression group showed significantly higher total score and all dimensional scores of CTQ (P<0.05). ② The scores of emotional abuse of CTQ were significantly correlated with onset age of depression patients (r=-0.243, P<0.05). ③ Correlation analysis indicated that the total score and the scores of three factors of SSMI-C among depression patients were significantly positively correlated with BDI scores (r=0.246-0.603, all P<0.05), also the scores of EN, PN and total score of CTQ were significantly positively correlated with BDI scores (r=0.424-0.453, all P<0.01). ④ The scores of PA, EN, PE and total score of CTQ in depression patients were positively correlated with the discrimination factor, positive effect factor and total score of SSMI-C (r=0.261-0.413, all P<0.05). Conclusion Depression patients may have more childhood trauma experiences than healthy people, and the experiences will have negative effect on self-stigma of depression.