摘要
目的探讨抑郁症患者家庭亲密度与家庭适应性及家庭分型,并分析其对自杀意念的影响。方法采取随机抽样的方法,选取2013年10月—2014年4月湖北医药学院附属人民医院住院的抑郁症患者108例,采用一般情况调查表和汉密尔顿抑郁量表(HAMD)、自杀意念自评量表(SIOSS)、家庭亲密度与适应性评定量表(FACESⅡ-CV)对抑郁症患者进行调查,根据SIOSS评分分为有自杀意念组(SIOSS≥12分)65例,无自杀意念组(SIOSS<12分)43例。比较两组患者一般情况、家庭亲密度、家庭适应性及家庭分型,采用多因素Logistic回归分析抑郁症患者自杀意念的影响因素。结果有自杀意念组与无自杀意念组患者年龄、性别、民族、婚姻状况、居住条件及工作时长比较,差异均无统计学意义(P>0.05);两组患者受教育程度、职业、经济状况比较,差异有统计学意义(P<0.05)。有自杀意念组患者FACESⅡ-CV家庭亲密度评分(58.1±13.3)分、家庭适应性评分(39.3±9.1)分,均低于无自杀意念组〔(69.6±9.7)分、(46.9±7.3)分,P<0.05〕。有自杀意念组与无自杀意念组患者家庭分型分布情况比较,差异有统计学意义(χ2=10.204,P=0.006)。抑郁症患者自杀意念与受教育程度呈正相关(r=0.406,P<0.001),与经济状况、家庭亲密度、家庭适应性呈负相关(r值分别为-0.268、-0.404和-0.396,P<0.001)。多因素Logistic回归分析结果显示,受教育程度、经济状况、家庭亲密度与抑郁症患者自杀意念有回归关系(P<0.05)。结论有自杀意念的抑郁症患者家庭亲密度与家庭适应性更差,家庭分型多为极端型;受教育程度越高、经济条件越差、家庭亲密度越低的抑郁症患者自杀意念越强。
Objective To investigate the family intimacy , family adaptability and family typing of patients with depression and analyze their effect on suicide ideation .Methods Using random sampling method , enrolled 108 patients with depression who were admitted into Renmin Hospital , Hubei University of Medicine from October 2013 to April 2014.A questionnaire of general information , HAMD, SIOSS and FACESⅡ-CV were used on the subjects.According to SIOSS results, the subjects were divided into two groups： suicide ideation group （ SIOSS≥12 ） （ n =65 ） and non suicide ideation group （ SIOSS〈12 ） （ n =43 ） .Comparison was made between the two groups in general information , family intimacy , family adaptability and family types .Multiple Logistic regression analysis was conducted to find the influencing factors for the suicide ideation of the subjects.Results The two group were not significantly different （ P ＆gt;0.05） in age, gender, ethnic group, marital status, living condition and working hours; the two groups were significantly different （P〈0.05） in education level, occupation and economic condition .The suicidal ideation group was lower than non suicidal ideation group in the score of family intimacy 〔 （58.1 ±13.3） vs.（69.6 ±9.7）, P〈0.05〕 and family adaptability 〔 （39.3 ±9.1） vs.（46.9 ±7.3）, P〈0.05〕 .The two group were significantly different in family typing （χ2 =10.204, P=0.006） .The suicidal ideation of the subjects was positively correlated with education level and was negatively correlated with economic condition , family intimacy, family adaptability （ r values were -0.268, -0.404 and -0.396 respectively, P 〈0.001 ） .The multivariate Logistic＆amp;nbsp;regression analysis showed that education level , economic condition , family intimacy had regression relationship with the suicidal ideation of the subjects （ P〈0.05 ） .Conclusion Patients with suicidal ideation usually have poor family intimacy and family adaptability , and thei
出处
《中国全科医学》
CAS
CSCD
北大核心
2015年第24期2889-2893,共5页
Chinese General Practice
关键词
抑郁症
自杀意念
家庭特征
影响因素分析
Depressive disorder
Suicidal ideation
Family characteristics
Root cause analysis
