摘要
目的了解男性海洛因依赖者(MPHD)抑郁情绪特点及影响因素。方法采用一般情况问卷(自拟)、抑郁自评问卷(SDS)、多伦多述情障碍量表(TAS)及渴求问卷(HCQ),对湖南地区218名MPHD(研究组)进行测评,以SDS对82名抑郁症患者(对照组)测评。结果83.51%的MPHD存在着不同程度的抑郁情绪,9.79%的患者有严重的抑郁情绪。MPHD、SDS总分及忧郁、易哭、睡眠障碍、食欲减退、性兴趣减退、体质量减轻、不安、易激惹、决断困难、无价值感10因子分均低于抑郁症组:SDS总分[(49.75±5.02)分vs(54.10±9.33)分](P<0.01);心悸、思考困难、绝望因子分高于抑郁症组(P<0.05或P<0.01)。以是否抑郁为应变量,对有关变量进行Logistic回归分析,TAS总分、HCQ效果期待因子、戒断前“飘”的感觉依次进入方程。结论MPHD抑郁发生率较高,但程度较轻,在某些生物学症状、躯体性障碍、抑郁的心理障碍方面表现得同样严重与突出。述情障碍、渴求、戒断前“飘”的感觉与MPHD抑郁发生密切相关。
Objective To investigate the depression characteristics and the related factors of the male patients with heroin dependence（MPHD）. Methods 218 MPHD （study group） from Hunan province were assessed employing a self-developed data-collecting form, Self-Rating Depression Scale （SDS） , Toronto Alexithymia Scale （TAS） and Heroin Craving Questionnaire （HCQ）. 82 psychiatric inpatients with depression were also assessed employing SDS. Results 194 MPHD finished the tests effectively. Of them 83.51% had depressive mood and 9.79% had major depression according to the criteria of SDS. Compared with the control group, MPHD had significant lower melancholy, be vulnerable to weep, disturbance of sleep, poor appetite, decreased libido, weight loss, uneasiness, irritability, hesitation, worthlessness factor scores , lower total scores of SDS （ P 〈 0. 01 ）, and had higher scores in heart-throb, thinking retardation and desperation factors. Logistic regression showed that MPHD with higher total scores of TAS, effect expectation factor of HCQ and experience of “high” before abstinent period were vulnerable to be depressive. Conclusions MPHD have a high rate to suffer from depression though the depressive mood is milder than major depression. MPHD are as serious and prominent as major depression in some biological symptoms, psychosomatic symptoms and depressive mental disorders. Alexithymia, drug craving and experience of “high” before abstinent period are important responsible factors to depressive status in MPHD.
出处
《中国行为医学科学》
CSCD
2005年第12期1071-1072,1118,共3页
Chinese Journal of Behavioral Medical Science
基金
国家重点基础研究专项经费973项目(2003CB515400)
2004中南大学研究生教育创新工程项目(040143)
