摘要
目的探讨糖尿病肾病患者负性自动思维与社会支持对抑郁状况的影响机制。方法采用一般情况调查表,自动思维问卷(ATQ),社会支持评定量表(SSRS)及自评抑郁量表(SDS),对219名糖尿病肾病患者进行问卷调查。结果SDS数据显示本次调查抑郁患病率为40. 18%。ATQ与SSRS总分及各维度评分均呈负相关(P <0. 01),与SDS呈正相关(P <0. 01); SDS与SSRS总分及各维度评分均呈负相关(P <0. 01)。多因素Logistic回归分析结果显示,ATQ、SSRS总分及客观支持、主观支持为SDS的独立危险因素(P <0. 05)。结论负性自动思维为抑郁发生的独立危险因素,社会支持为抑郁发生的保护性因素;应健全、完善糖尿病肾病患者社会支持系统,并减少抑郁负性自动思维的形成来降低抑郁的发生。
Objective To explore the influence of negative automatic thoughts and social support on depression in patients with diabetic nephropathy.Methods A total of 219 patients with diabetic nephropathy were selected and assessed with Automatic Thoughts Questionnaire(ATQ),Social Support Rating Scale(SSRS),Self-rating Depression Scale(SDS)and general information questionnaire.Results The prevalence rate of depression among inpatients was 40.18%.The total score of ATQ was negatively correlated with the total score and all factor scores of SSRS(P<0.01),and positively correlated with the total score of SDS(P<0.01).The total score of SDS was negatively correlated with the total score and all factor scores of SSRS(P<0.01).The multivariate Logistic regression analysis showed that the total score of ATQ,SSRS and factor scores of objective support,subjective support were independent risk factors for SDS(P<0.05).Conclusion The negative automatic thoughts is an independent risk factor for depression,and the social support is a protective factor for it.So social support system should be improved to effectively prevent the negative automatic thoughts so as to reduce the occurrence of depression.
作者
郭立青
刘中宪
梁洁
杨世昌
GUO Liqing;LIU Zhongxian;LIANG Jie(Sanquan College of Xinxiang Medical University,Xinxiang 453003,China)
出处
《精神医学杂志》
2018年第4期248-251,共4页
Journal of Psychiatry
基金
河南省研究生教育教学改革研究与实践资助项目(编号:2017SJGLX078Y)
河南省卫生计生科技创新型人才工程专项资助(编号:201632-LJRC-062)
关键词
社会支持
负性自动思维
抑郁
横断面调查
Social support
Negative automatic thoughts
Depression
Cross-sectional study
