抑郁症患者情绪调节、心理弹性及应对方式研究

发布时间：2018-05-17 03:03

本文选题：抑郁症 + 情绪调节　；参考：《新乡医学院》2014年硕士论文

【摘要】：背景抑郁症是一种常见的心境障碍,其核心症状为情绪低落、兴趣缺乏和快感缺失,可伴有躯体症状、自杀观念和行为等。世界卫生组织认为抑郁障碍是困扰人类的终身顽疾,全球约有1亿人患抑郁症,自杀率达15%；抑郁症已经成为中国疾病负担的第二大疾病,成为引起自杀死亡和致残的主要疾病,严重威胁了人们生命财产安全,降低了人们的生活质量。在心理学方面,情绪调节、应付方式和心理弹性等在抑郁症发病及预后中起着不可忽视的作用。因此对抑郁症患者情绪调节、心理弹性及应对方式的研究有重要的理论和实际意义。目的(1)探讨抑郁症患者与健康人群在情绪调节、应对方式和心理弹性之间的差异；(2)探讨抑郁严重程度与情绪调节、应对方式和心理弹性之间的关系。方法选取2013年7月至2014年8月在河南省洛阳荣康医院和洛阳市第五人民医院门诊及住院治疗的90例抑郁症患者为抑郁症组,入组患者均符合国际疾病分类第10版(ICD-10)中抑郁发作的诊断标准,其中男37例,女53例,年龄范围19-65岁；选择同期年龄和性别与抑郁症组相匹配的90例健康志愿者为健康组,男41例,女49例,年龄范围18-59岁。本研究采用一般情况调查问卷、汉密顿抑郁量表(HAMD)、简易应对方式问卷(SCSQ)、情绪调节方式问卷(ERS)、心理弹性量表(CD-RISC)作为研究工具,分析抑郁症患者与健康人群在情绪调节、应对方式和心理弹性之间的差异及抑郁症严重程度与情绪调节、应对方式和心理弹性之间的关系。全部资料采用SPSS软件进行数据处理。结果(1)两组在情绪调节、应对方式和心理弹性之间的比较抑郁症组与健康组正情绪比较差异有显著性：快乐因子(t=-3.964,P=0.000),兴趣因子(t=-3.084,P=0.002)。两组负情绪比较愤怒因子(t=0.442,P=0.659)、厌恶因子(t=-1.029,P=0.305)差异无统计学意义,悲伤因子(t=4.082,P=0.000)和恐惧因子(t=2.870,P=0.005)差异有显著性。两组被试正负情绪4种调节方式重视、忽视、抑制和宣泄上的使用频率比较结果显示,两组在正情绪的重视(t=-7.095,P=0.000)、抑制(t=2.839,P=0.005)和宣泄(t=-5.310,P=0.000)上差异有显著性,在忽视调节方式上差异无统计学意义(t=0.560,P=0.576)。在负情绪调节方式中,忽视(t=-3.239,P=0.001)、重视(t=5.194,P=0.000)和抑制(t=2.478,P=0.014)差异有显著性,宣泄差异无统计学意义(t=1.947,P=0.053)。在应对方式,两组在积极应对(t=-9.054,P=0.000)和消极应对(t=3.568,P=0.000)上差异有显著性。对两组被试者心理弹性比较研究中,两组被试在坚韧性、乐观性、力量性及心理弹性总分上差异有显著性(P0.001)。(2)抑郁严重程度与情绪调节、应对方式和心理弹性的相关分析抑郁严重程度与快乐、兴趣、厌恶、悲伤、愤怒、恐惧等因子均呈负相关,除与兴趣因子(r=-0.280,P=0.007)及愤怒因子(r=-0.209,P=0.048)有显著性相关外,其他均相关不显著；与正负情绪4种调节方式相关分析,抑郁严重程度与正情绪重视调节(r=-0.236,P=0.025)显著负相关,与负情绪忽视调节(r=-0.297,P=0.005)呈显著负相关,其他均相关不显著。抑郁严重程度与积极应对呈显著负相关(r=-0.577,P=0.000),与消极应对呈正相关,但相关不显著(r=0.082,P=0.440)。抑郁严重程度与力量性因子(r=-0.505,P=0.000)、乐观性因子(r=-0.455,P=0.000)、坚韧性因子(r=-0.544,P=0.000)和弹性总分(r=-0.561,P=0.000)均呈显著负相关。(3)抑郁严重程度相关因素的逐步回归分析回归分析结果显示,积极应对(β=-0.537,P=0.000)和乐观性(β=-0.269,P=0.002)对抑郁严重程度有负向预测作用,消极应对(β=0.194,P=0.023)有正向预测作用。结论(1)抑郁症患者在应对生活事件时倾向于采用消极的应对方式,面对压力和逆境时心理弹性较差,情绪调节方式上对正情绪有较多的抑制,较少的宣泄,对负情绪有较多的重视,较少的忽视,更容易沉浸在不良情绪中,加重抑郁症状。(2)心理弹性高和采取积极应对方式越多的患者抑郁程度越轻,对负情绪较少采取忽视调节、对正情绪较少采取重视调节的病人抑郁程度较重。
[Abstract]:Background depression is a common mood disorder, with the core symptoms of depression, lack of interest and loss of pleasure, with somatomatic symptoms, suicidal ideas and behavior. The WHO believes that depression is a life-long disease perplexing mankind, about 100 million people worldwide suffer depression and the suicide rate is 15%; depression has become a Chinese disease. The second major diseases of the disease are the main diseases that cause suicide death and disability. It seriously threatens the safety of people's life and property and reduces the quality of life. In psychology, emotional adjustment, coping style and mental resilience play an important role in the pathogenesis and prognosis of depression. The study of adjustment, mental resilience and coping style has important theoretical and practical significance. Objective (1) to explore the differences between depression patients and healthy people in emotional adjustment, coping style and mental resilience; (2) to explore the relationship between depression severity and emotional regulation, coping style and mental resilience. Methods selected from July 2013 to 2014. In August, 90 depressive patients were treated in Luoyang rhonkang hospital and fifth people's Hospital in Luoyang City, Luoyang City, Fifth People's Hospital and hospitalized depressive patients. All patients were in accordance with the diagnostic criteria of depression in the international classification of disease tenth (ICD-10), including 37 male, 53 female and 19-65 years of age, and selected age and sex and depression at the same time. 90 healthy volunteers were matched as healthy volunteers, 41 men, 49 women and 18-59 years of age. The study adopted general situation questionnaire, Hamilton Depression Scale (HAMD), simple coping style questionnaire (SCSQ), Emotion Regulation Questionnaire (ERS) and Mental Resilience Scale (CD-RISC) as the research tool to analyze depression patients and healthy people The relationship between emotion regulation, coping style and mental resilience and the relationship between depression severity and emotion regulation, coping style and mental resilience. All data were processed with SPSS software. Results (1) the comparison between the two groups of emotional adjustment, coping style and psychological elasticity was compared with the positive emotional ratio in the depression group and the health group. The difference was significant: t=-3.964 (P=0.000) and interest factor (t=-3.084, P=0.002). There was no significant difference between the two groups of negative emotion (t=0.442, P=0.659), and the disgust factor (t=-1.029, P=0.305). The difference between the sadness factor (t=4.082, P=0.000) and the fear factor (t=2.870, P=0.005) was significant. The two groups were 4 positive and negative emotions. The difference between two groups in positive emotion (t=-7.095, P=0.000), inhibition (t=2.839, P=0.005) and catharsis (t=-5.310, P=0.000) is significant, and there is no statistical difference in the way of neglecting regulation (t=0.560, P=0.576). In negative emotional regulation, it is ignored. (t=-3.239, P=0.001), the difference between (t=5.194, P=0.000) and inhibition (t=2.478, P=0.014) was significant, and the difference was not statistically significant (t=1.947, P=0.053). In the coping style, there was a significant difference between the two groups in the positive response (t=-9.054, P=0.000) and negative coping (t=3.568, P). The two groups were compared in the two groups of subjects' psychological elasticity. There were significant differences in toughness, optimism, strength and mental resilience (P0.001). (2) the correlation between depression severity and emotion regulation, coping style and mental resilience was negatively correlated with happiness, interest, disgust, sadness, anger, fear and other factors, except with interest factors (r=-0.280, P=0.007) and anger. Factors (r=-0.209, P=0.048) have significant correlation, other correlation is not significant, and positive and negative emotion 4 regulation related analysis, depression severity is significantly negatively correlated with positive emotional attention regulation (r=-0.236, P=0.025), and negative emotional neglect (r=-0.297, P= 0.005) has a significant negative correlation, other correlation is not significant. Depression severity. There was a significant negative correlation with positive response (r=-0.577, P=0.000), positive correlation with negative coping, but the correlation was not significant (r=0.082, P=0.440). The severity of depression was negatively correlated with the strength factor (r=-0.505, P=0.000), the optimism factor (r=-0.455, P=0.000), the tenacity factor (r=-0.544, P=0.000) and the elastic Total (r=-0.561, P=0.000). (3) inhibition (3) Regression analysis of regression analysis of related factors of severity of depression showed that positive response (beta =-0.537, P=0.000) and optimism (beta =-0.269, P=0.002) had a negative predictive effect on depression severity, negative coping (beta =0.194, P=0.023) had a positive predictive effect. (1) depression patients tended to adopt negative effects in coping with life events. Coping style, the psychological resilience of stress and adversity is poor, emotional regulation is more restrained to positive emotion, less catharsis, more attention to negative emotion, less neglect, more easy to immerse in bad mood and aggravate depressive symptoms. (2) the higher the mental resilience and the more positive coping styles of the patients' depression degree. The lighter the negative emotion was, the more neglected the patients were.
【学位授予单位】：新乡医学院
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R749.4

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