重性抑郁障碍患者与正常人应对方式的对照研究

目的探讨重性抑郁障碍患者应对方式的特点。方法从山东省18岁及以上人群精神障碍流行病学调查数据库中筛查出303例重性抑郁障碍患者(研究组),按同性别、同年龄组(相差±3岁)、同村1∶1配对选择303名正常人(对照组),全部患者用SCID-I-P进行诊断。研究工具有一般资料调查问卷、简易应对方式问卷和功能大体评定量表。结果重性抑郁障碍患者的积极应对维度评分明显低于正常人的评分(P<0.01)。职业为农民/渔民者、受教育年限较低的或年龄较大的所有受试者的积极应对维度评分较低(P<0.05)。重性抑郁障碍患者社会功能损害程度严重者或反复自杀未遂者的积极应对维度评分较低(P<0.05),自杀意念强度高者,其消极应对维度评分较高(P<0.05)。结论重性抑郁障碍患者的积极应对能力相对正常人较差;受教育年限、年龄、自杀未遂次数、社会功能损害程度可能是影响重性抑郁障碍患者积极应对能力的危险因素,自杀意念强度可能是影响重性抑郁障碍患者消极应对的危险因素。

A matched-control study on coping styles of patients with major depression

Objective To explore the coping styles of patients with major depression.Methods A total of 303 patients with major depression were diagnosed with SCID-I-P(Study Group).In another group(Control Grop),303 healthy individuals were included,who were matched one-to-one to the Study Group,by gender,age and village.All participants were in the database of an epidemiological survey for mental disorders in persons of ≥18 years in Shandong province.The project included the Simplified Coping Style Questionnaire(SCSQ),Global Assessment Function(GAF) and Common Data Questionnaire.Results Active coping scores on SCSQ in the Study Group were lower than those in the Control Group(P<0.01).Active SCSQ scores of farmers,fishermen,older people or those with low education were lower than those of others in both groups(P<0.05).Active SCSQ scores of patients with multiple suicide attempts or with serious social dysfunction were low(P<0.05),but these patients’ passive SCSQ scores were high(P<0.05).Conclusion Patients with major depression had poorer active coping ability than healthy people.Age,education,times of attempted suicide and social dysfunction are likely to influence the active coping ability of patients with major depression.The fervency of intension to attempt suicide may be a factor influencing passive coping ability.