摘要
目的探讨康复期抑郁症患者父母教养方式、应对方式特点及其与症状的关系。方法采用父母养育方式评价量表、简易应对方式问卷测评84例康复期抑郁症患者及79例正常人,并对两组被试分别进行汉密尔顿抑郁量表及抑郁自评量表的评估。结果与正常对照组相比,康复期抑郁症患者在父、母亲情感温暖与理解这两个分量表上得分较低(t=-5.81,-5.26;P<0.01),在父亲惩罚严厉这个分量表得分上较高(t=2.41,P<0.05),在积极应对方式上得分较低(t=-8.68,P<0.01);积极应对方式受父亲偏爱被试影响,与其负相关(r=-0.23,P<0.05),消极应对方式与母亲情感温暖与理解关心负相关(r=-0.37,P<0.01)。父亲惩罚严厉为抑郁症发病的危险因素(OR=1.07,P=0.02)。结论康复期抑郁症患者的早期教养方式特点为父母情感温暖与理解关心较少,父亲惩罚严厉较多,较少采取积极应对方式,其不良的教养方式会影响不良应对方式的形成,且影响疾病的发生和转归。
Objective To investigate the characteristics of parental rearing styles, coping style and their relationship with symptoms of depression patients during recovery period. Methods 84 depression patients during recovery period and 79 normal controls were as- sessed with Egma Minnen av Bardndosnauppforstran（ EMBU）, Coping Style Questionnaire（ CSQ）, and depression patients were assessed with Hamilton Depression Scale（HAMD） ,normal group were assessed with Self-rating Depression Scale（SDS）. Results About parental rearing styles, parental warm emotion and understanding factor scores of case group were all lower than those of control group （ P 〈 0.01 ）, Fatherly severe-punishment factor score was higher than that in control group（P 〈0.05 ） ,positive coping style score was lower than that in control group（P 〈 0.01 ）. The score of positive coping style was influenced by the level of fatherly over-protection factor with a nega- tive correlation between them（ r =-0. 236 ,P 〈 0.05 ）, and the score of negative coping style was positively correlated with the level of mother＇s warm emotion and understanding factor（ r = 0.4, P 〈 0.01 ）. Fatherly severe-punishment was the risk factor of incidence of de- pression （ OR = 1.07, P = 0.02）. Conclusion The characteristics of parental rearing styles of depression patients during recovery period are more fatherly severe-punishment, less parental warm emotion and understanding, less positive coping style. The negative parental rea- ring styles impact coping style and consequently affect the incidence and outcome of depression.
出处
《中国健康心理学杂志》
2014年第4期492-494,共3页
China Journal of Health Psychology
基金
国家科技支撑计划项目(编号:2009BAI77B11)
