重症抑郁障碍临床痊愈后心理社会功能特征及其影响因素研究
发布时间：2019-02-21 12:10
【摘要】：目的 研究重症抑郁障碍患者在达到临床痊愈标准后心理社会功能的特点,并进一步分析影响其心理社会功能恢复水平的因素,以初步探索促进重症抑郁障碍患者全面康复的治疗方案。方法 采用自编信息调查问卷、生活质量综合评定问卷(GQOLI-74)的躯体、心理、社会功能分量表、24项汉密顿抑郁量表(HAMD-24)、Beck抑郁问卷(BDI)、自动思维问卷(ATQ)、特征应对方式问卷(TCSQ)、社会支持评定量表(SSS)、生活事件量表(LES),使用独立样本非参检验、独立样本t检验和多元线性回归分析的统计处理方法,对40例经常规住院治疗后达到临床痊愈的重症抑郁障碍患者和40例正常人进行调查分析。 结果 1.研究组和对照组心理社会功能的比较 (1)研究组躯体功能维度得分显著低于对照组(t=-2.16,P0.05),其中躯体不适感因子得分(t=-3.00,P0.01)和进食功能得分(t=-2.66,P0.01)均显著低于对照组； (2)研究组心理功能维度中的精神紧张度因子得分显著低于对照组(t=-2.04,P0.05); (3)研究组社会功能维度中的工作与学习因子(t=-3.73,P0.01)和婚姻与家庭因子得分(t=-4.14,P0.01)均显著低于对照组,业余娱乐生活因子得分显著高于对照组(t=2.66,P0.05)。 2.研究组躯体功能的多元线性回归分析 (1)自动思维(t=-3.82,P0.01)和客观社会支持水平(t=2.44,P0.05)是研究组躯体功能维度的显著影响因素； (2)消极应对方式是其躯体不适感因子的显著影响因素(t=2.56,P0.05)； (3)自动思维是其进食功能的显著影响因素(t=-3.73,P0.01)。 3.研究组心理功能的多元线性回归分析对抑郁症状的自我评估(t=-3.77,P0.01)和主观社会支持水平(t=2.06, P0.05)是研究组心理功能中精神紧张度因子的显著影响因素。 4.研究组社会功能的多元线性回归分析 (1)负性生活事件(t=-4.83,P0.01)和应对方式(t积=-2.00,P积0.05；t消=2.53,P消0.01)是研究组社会功能中工作与学习因子的显著影响因素； (2)对抑郁症状的自我评估(t=-4.41,P0.01)和社会支持水平(t主=3.37,P主0.01；t客=-2.32,P客0.05)是其婚姻与家庭因子的显著影响因素； (3)消极应对方式(t=2.11,P0.05)和客观社会支持(t=3.2,P0.01)是其业余娱乐生活因子的显著影响因素。 结论 临床痊愈后重症抑郁障碍患者的心理社会功能恢复迟滞于症状恢复,主要表现在躯体不适感、进食障碍、精神紧张度、工作与学习功能和婚姻与家庭功能几方面,不过此时患者的业余娱乐生活质量较高。患者对症状的自我评估、自动思维方式、应对方式、社会支持水平和负性生活事件可能是影响患者心理社会功能恢复的几个重要因素。
[Abstract]:Objective to study the characteristics of psycho-social function in patients with severe depressive disorder after meeting the clinical recovery standard, and to analyze the factors affecting the level of psycho-social function recovery. To explore the treatment scheme to promote the comprehensive rehabilitation of patients with severe depressive disorder. Methods A self-designed information questionnaire and a comprehensive quality of life (GQOLI-74) questionnaire were used to assess the physical, psychological and social functions of the questionnaire, and 24 items of HAMD-24), Beck Depression scale (BDI),) were used. Automatic thinking questionnaire (ATQ), characteristic coping style questionnaire (TCSQ), Social support rating scale (SSS), Life events scale (LES), used independent sample non-reference test. Independent sample t-test and multivariate linear regression analysis were used to investigate and analyze 40 patients with severe depressive disorder and 40 normal controls. Result 1. Comparison of psychosocial function between study group and control group (1) the score of somatic function dimension in study group was significantly lower than that in control group (t = 2.16, P 0.05), in which the score of somatic discomfort factor was significantly lower than that of control group (t = 3.00, P < 0.05). The scores of P0.01) and eating function (tF- 2.66, P0.01) were significantly lower than those in the control group. (2) the scores of mental stress factor in the mental function dimension of the study group were significantly lower than those in the control group (t = 2.04, P 0.05); (3) the scores of work and learning factors (tr) and marriage and family factors in the social function dimension of the study group were significantly lower than those in the control group. The score of leisure life factor was significantly higher than that of control group (t = 2.66 P 0.05). 2. Multiple linear regression analysis of somatic function in the study group (1) automatic thinking (tr-3.82 P0.01) and objective social support (t 2. 44 P 0. 05) were significant influencing factors of somatic function in the study group. (2) negative coping style was a significant factor of somatic discomfort (T2.56P 0.05); (3). Automatic thinking was a significant influence factor of eating function (TG-3.73 P0.01). 3. Multiple linear regression analysis of the psychological function of the study group was used to evaluate the depression symptoms (t = -3.77, P 0.01) and the level of subjective social support (t = 2.06, P < 0.05). P05) is a significant factor of mental stress in the psychological function of the study group. 4. Multivariate linear regression analysis of social function in the study group (1) negative life events (t = -4.83) and coping styles (t product = -2.00 P product 0.05); T elimination = 2.53% P cancellation 0.01) is a significant influence factor of work and learning in the social function of the study group. (2) Self-assessment of depressive symptoms (tng-4.41, P0.01) and social support level (t = 3.37, P < 0.01); T = -2.32 P (0.05) is a significant factor affecting marriage and family. (3) the negative coping style (t0. 11 P 0.05) and objective social support (t 2. 2 0. 01) were the significant influencing factors of the leisure life factors. Conclusion the recovery of psycho-social function of patients with severe depressive disorder after clinical recovery is delayed by symptom recovery, which is mainly manifested in somatic discomfort, eating disorder, mental stress, work and learning function, marriage and family function. But at this time the patient's amateur entertainment life quality is higher. Patients' self-assessment of symptoms, automatic thinking, coping style, social support level and negative life events may be important factors affecting the recovery of patients' psychosocial function.
【学位授予单位】：南京医科大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R749.4
本文编号：2427484
[Abstract]:Objective to study the characteristics of psycho-social function in patients with severe depressive disorder after meeting the clinical recovery standard, and to analyze the factors affecting the level of psycho-social function recovery. To explore the treatment scheme to promote the comprehensive rehabilitation of patients with severe depressive disorder. Methods A self-designed information questionnaire and a comprehensive quality of life (GQOLI-74) questionnaire were used to assess the physical, psychological and social functions of the questionnaire, and 24 items of HAMD-24), Beck Depression scale (BDI),) were used. Automatic thinking questionnaire (ATQ), characteristic coping style questionnaire (TCSQ), Social support rating scale (SSS), Life events scale (LES), used independent sample non-reference test. Independent sample t-test and multivariate linear regression analysis were used to investigate and analyze 40 patients with severe depressive disorder and 40 normal controls. Result 1. Comparison of psychosocial function between study group and control group (1) the score of somatic function dimension in study group was significantly lower than that in control group (t = 2.16, P 0.05), in which the score of somatic discomfort factor was significantly lower than that of control group (t = 3.00, P < 0.05). The scores of P0.01) and eating function (tF- 2.66, P0.01) were significantly lower than those in the control group. (2) the scores of mental stress factor in the mental function dimension of the study group were significantly lower than those in the control group (t = 2.04, P 0.05); (3) the scores of work and learning factors (tr) and marriage and family factors in the social function dimension of the study group were significantly lower than those in the control group. The score of leisure life factor was significantly higher than that of control group (t = 2.66 P 0.05). 2. Multiple linear regression analysis of somatic function in the study group (1) automatic thinking (tr-3.82 P0.01) and objective social support (t 2. 44 P 0. 05) were significant influencing factors of somatic function in the study group. (2) negative coping style was a significant factor of somatic discomfort (T2.56P 0.05); (3). Automatic thinking was a significant influence factor of eating function (TG-3.73 P0.01). 3. Multiple linear regression analysis of the psychological function of the study group was used to evaluate the depression symptoms (t = -3.77, P 0.01) and the level of subjective social support (t = 2.06, P < 0.05). P05) is a significant factor of mental stress in the psychological function of the study group. 4. Multivariate linear regression analysis of social function in the study group (1) negative life events (t = -4.83) and coping styles (t product = -2.00 P product 0.05); T elimination = 2.53% P cancellation 0.01) is a significant influence factor of work and learning in the social function of the study group. (2) Self-assessment of depressive symptoms (tng-4.41, P0.01) and social support level (t = 3.37, P < 0.01); T = -2.32 P (0.05) is a significant factor affecting marriage and family. (3) the negative coping style (t0. 11 P 0.05) and objective social support (t 2. 2 0. 01) were the significant influencing factors of the leisure life factors. Conclusion the recovery of psycho-social function of patients with severe depressive disorder after clinical recovery is delayed by symptom recovery, which is mainly manifested in somatic discomfort, eating disorder, mental stress, work and learning function, marriage and family function. But at this time the patient's amateur entertainment life quality is higher. Patients' self-assessment of symptoms, automatic thinking, coping style, social support level and negative life events may be important factors affecting the recovery of patients' psychosocial function.
【学位授予单位】：南京医科大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R749.4
【参考文献】
相关期刊论文 前1条
1 党亚梅;黄雄;徐贵云;贾艳滨;欧阳惠怡;;心理治疗结合药物治疗抑郁症患者的临床观察[J];实用心脑肺血管病杂志;2010年05期
，本文编号：2427484
本文链接：https://www.wllwen.com/yixuelunwen/jsb/2427484.html
最近更新
教材专著
