抑郁症患者自动思维及应付方式特征的研究

目的 :探讨抑郁症患者自动思维、应付方式随抑郁症状严重程度变化的特点和规律。方法 :对 97例抑郁症患者分别在其入、出院时进行测评 ,测评工具包括自评抑郁量表 (SDS)、自动思维问卷(ATQ)和应付方式问卷 ,对 10 0例正常对照亦进行上述测评。结果 :1)治疗后SDS和ATQ得分显著下降 ,下降幅度分别为 2 4 99分和 3 1 97分 ;2 )治疗后“自责”得分显著下降 (P <0 0 5 ) ,“解决问题”得分显著增加 (P <0 0 5 ) ,“幻想、合理化”得分在治疗后无显著变化 (P >0 0 5 ) ;3 )SDS前后得分的差值与“ATQ、退避、自责”的前后差值呈显著正相关 ,Pearsonr为 0 2 1～ 0 61,与“解决问题”的差值呈显著负相关 (r为-0 2 5 ) ,ATQ前后得分的差值与“SDS、退避、自责”的前后差值呈显著正相关 (r为 0 2 5～ 0 61) ,与“解决问题”的前后差值呈显著负相关 (r为 -0 3 8) ,SDS前后差值与“幻想、合理化”治疗前后得分差值相关不显著 (P >0 0 5 )。结论 :“自动思维、自责、解决问题”的得分随抑郁症状的严重程度而变化 ,具有状态性特征 ;而“幻想、合理化”这两种应付方式则变化不显著 ,具有跨情境稳定性。

The Characteristics of Automatic Thoughts and Ways of Coping in Major Depression

Objectives: To investigate the characteristics of automatic thoughts and ways of coping in major depression on admission and at discharge Methods: A cohort of 97 major depressed in-patients was assessed on admission and at discharge The assessment instruments included Self-Rating Depression Scale (SDS), the Automatic Thoughts Questionnaire(ATQ) and the Ways of Coping Questionnaire 100 healthy subjects were assessed, too Results:The scores of SDS and the ATQ decreased remarkably at discharge (P<0 05) Of the six ways of coping presented, the scores of self-blame significantly decreased and problem-solving increased remarkably(P<0 05) at discharge The correlation analyses of differences between twe times of rating showed the difference of SDS was positively related with that of ATQ, avoidance and self-blame(r=0 21-0 61,P<0 05), and negatively related with that of problem-solving(r=-0 25),but not related with that of fancy and rationalization(P>0 05) The difference of ATQ was also positively related with that of SDS , avoidance, self-blame(r=0 25-0 61), and negatively related with that of problem-solving(r=-0 38) Conclusions:The automatic thoughts and ways of coping have the different feature following the change of depressive severity in major depressed patients