抑郁症患者攻击行为与应对方式、焦虑、抑郁的关系

发布时间：2018-06-16 16:18

本文选题：抑郁症 + 攻击　；参考：《第三军医大学学报》2014年11期

【摘要】：目的探讨抑郁症患者攻击行为与应对方式、焦虑、抑郁的关系。方法运用攻击性问卷、特质应对方式问卷、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)等,对2010年9月至2011年10月于重庆医科大学附属第一医院精神科门诊就诊及住院部住院的首发和复发抑郁症患者80例(抑郁症组)及来自本院职工和经广告招募而得的正常对照组80例(于2010年10月至2011年11月收集)进行对比分析,并进行Spearman相关分析和回归分析研究抑郁症患者攻击行为与应对方式、焦虑、抑郁的关系。结果①抑郁症组愤怒、敌意、面向自我攻击的各因子分及攻击总分显著高于正常对照组(P0.01)。②相关分析显示抑郁症组身体攻击、言语攻击、面向自我的攻击、愤怒、敌意和攻击总分均与消极应对方式呈显著正相关(r值为0.37~0.60,P0.01);而面向自我的攻击、敌意和攻击总分与积极应对方式呈显著负相关(r值为-0.38~-0.29,P0.05);言语攻击、愤怒、攻击总分与HAMA、HAMD得分均呈显著正相关(r值为0.29~0.45,P0.05,P0.01)。③身体攻击、敌意、面向自我的攻击分别能被消极应对方式解释各占14.5%、32.9%、35.2%;言语攻击能被消极应对方式和抑郁得分解释占21.9%;愤怒、攻击总分分别能被消极应对方式和焦虑得分解释占39.2%、45.3%。结论抑郁症患者存在明显攻击行为,且消极应对方式对其发生可能有重要预测和促发作用。
[Abstract]:Objective to investigate the relationship between aggressive behavior, coping style, anxiety and depression in patients with depression. Methods using aggression questionnaire, trait coping style questionnaire, Hamilton anxiety scale, Hamilton Depression scale, etc. From September 2010 to October 2011, 80 first-episode and relapsed depression patients (depression group) in psychiatric outpatient clinic and inpatient department of the first affiliated Hospital of Chongqing Medical University were recruited and recruited by advertisement from the staff and workers of Chongqing Medical University. Of 80 normal controls (collected from October 2010 to November 2011), Spearman correlation analysis and regression analysis were used to study the relationship between aggressive behavior and coping style, anxiety and depression. Results 1 the scores of anger, hostility, self-directed aggression and total score of aggression in depression group were significantly higher than those in normal control group (P0.01n.2). The results showed that the depression group had physical aggression, verbal aggression, self-oriented aggression and anger. There was a significant positive correlation between the total score of hostility and aggression and negative coping style (r = 0.37 / 0.60 / P 0.01), while the total score of hostility and attack was negatively correlated with positive coping style (r = -0.38 / -0.29 / P 0.05), and the score of speech attack and anger was negative correlation between the total score of hostility and attack and the positive coping style (P < 0.05), while the total score of hostility and attack was significantly negatively correlated with the positive coping style (P < 0.05). There was a significant positive correlation between the total score of attack and Hamad score, the r value was 0.29 0. 45%, P 0. 05% P 0. 05%, P 0. 01 0. 3 physical aggression, hostility, self-oriented attack could be explained by negative coping style and 32. 9% respectively, verbal attack could be explained by negative coping style and depression score. The total score of aggression can be explained by negative coping style and anxiety score 39.2% and 45.3% respectively. Conclusion there are obvious aggressive behaviors in patients with depression, and negative coping styles may play an important role in predicting and promoting their occurrence.
【作者单位】：川北医学院临床医学系精神病与医学心理学教研室;重庆医科大学附属第一医院精神科;
【基金】：重庆市卫生局医学科研计划项目(2011-2-066)~~
【分类号】：R749.4

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