抑郁性障碍患者的症状表现与认知情绪调节方式的关系

目的:探讨抑郁性障碍患者的症状表现特征及其与认知情绪调节方式之间的关系。方法:采用结构式临床访谈、认知情绪调节问卷对301例抑郁性障碍患者进行调查。结果:①抑郁性障碍患者最常见的躯体症状是心慌(72.43%)、疲劳(70.76%)、胸闷(65.78%)及失眠(64.45%),最常见的情感症状是情绪低落(92.03%)、焦虑(87.04%)、紧张(71.43%)及兴趣减退(62.46%)。②认知情绪调节方式中的积极重新关注和积极重新评价与躯体症状表现数目呈显著负相关(r=-0.233,r=-0.141),沉思和灾难化与躯体症状表现数目呈显著正相关(r=0.224,r=0.207);积极重新关注和积极重新评价与情感症状表现数目呈显著负相关(r=-0.126,r=-0.145),自我责备、沉思和灾难化与情感症状表现数目呈显著正相关(r=0.131,r=0.211,r=0.320)。③躯体症状组患者在接受、沉思、灾难化及责备他人等消极认知策略上的得分显著高于情感症状组患者。结论:抑郁性障碍患者的认知情绪调节方式与症状表现有关。

Relationship Between Cognitive Emotion Regulation Strategies and Depressive Symptoms in Patients with Depression

Objective: To investigate the depressive symptoms of depressive patients and the relationship between depressive symptoms and the styles of cognitive emotion regulation strategies.Methods: The Structured Clinical Interview and the Cognitive Emotion Regulation Questionnaire were completed by a sample of 301 depressive patients.Results: ①The most common somatic symptoms in depressive patients were palpitation(72.43%),fatigue(70.76%),chest tightness(65.78%) and insomnia(64.45%).The most common psychological symptoms in depressive patients were depressed mood(92.03%),anxiety(87.04%),nervousness(71.43%) and loss of interest(62.46%).②In cognitive emotion regulation strategies,positive refocus and positive reappraisal had significant negative correlation with the number of somatic symptoms(r=-0.233,r=-0.141),rumination and catastrophe had significant positive correlation with the number of somatic symptoms(r=0.224,r=0.207).Positive refocus and positive reappraisal had significant negative correlation with the number of psychological symptoms(r=-0.126,r=-0.145),self-blame,rumination and catastrophe had significant positive correlation with the number of psychological symptoms(r=0.131,r=0.211,r=0.320).③The level of acceptance,rumination,catastrophe and blaming others in patients in somatic symptoms group were significantly higher than those in psychological symptoms group.Conclusion: The cognitive emotion regulation strategies of depressive patients have significant correlation with depressive symptoms.