摘要
目的探讨童年期虐待和心理弹性水平与抑郁症患者精神病性症状的关系。方法根据是否存在精神病性症状,将160例抑郁症患者,分成伴精神病性症状抑郁症组(PMD组,80例)和不伴精神病性症状抑郁症组(NMD组,80例),两组患者均完成一般资料调查表、儿童期虐待问卷(childhood trauma questionnaire,CTQ)和心理弹性量表(Conner-Davidson resilience scale,CD-RISC)的评定。采用Logistic回归分析法探究抑郁患者精神病性症状的影响因素。结果两组患者在情感虐待[(17.80±2.78)分,(10.14±1.46)分],躯体虐待[(16.98±3.21)分,(8.31±1.24)分],性虐待[(8.74±1.87)分,(7.85±1.71)分],情感忽视[(21.46±1.95)分,(15.71±2.12)分]和童年虐待总分[(81.98±9.88)分,(54.10±4.36)分]差异具有统计学意义(F=68.88,70.91,2.91,45.93,77.28,均P<0.01);在坚韧性(F=4.47,P<0.01),力量性(F=5.59,P<0.01),乐观性(F=2.35,P=0.033)和心理弹性总分(F=7.23,P<0.01)上差异具有统计学意义。Logistic回归分析结果显示,低发病年龄是抑郁症患者精神病性症状的危险因素[B=2.57,P=0.024,OR(95%CI)=13.07(1.01~169.54)],无童年期虐待[B=-1.95,P=0.003,OR(95%CI)=0.14(0.04~0.52)]、高心理弹性[B=-2.54,P<0.01,OR(95%CI)=0.08(0.02~0.27)]、轻中度抑郁[B=-1.33,P=0.013,OR(95%CI)=0.27(0.09~0.76)]是抑郁症患者精神病性症状的保护因素。结论心理弹性可能是抑郁症患者精神病性症状的保护因素,童年期虐待可能是抑郁症患者精神病性症状的危险因素。
Objective To explore relationship of psychotic symptoms with childhood abuse and psychological resilience in patients with depression. Methods According to whether the psychotic symptoms exist, 160 patients with depression were divided into psychotic major depression (PMD group, n=80) and nonpsychotic major depression (NMD group, n=80). All patients were assessed with general information questionnaire, the childhood trauma questionnaire(CTQ)and the Conner-Davidson resilience scale(CD-RISC). Using logistic regression analysis to explore the influencing factors of psychiatric symptoms in depressive patients. Results There were significant differences in the emotional abuse ((17.80±2.78),(10.14±1.46)), the physical abuse ((16.98±3.21),(8.31±1.24)), the sexual abuse ((8.74±1.87),(7.85±1.71)), the emotional neglect ((21.46±1.95),(15.71±2.12)) and total score of childhood abuse ((81.98±9.88),(54.10±4.36)) between the two group (F=68.88, 70.91, 2.91, 45.93, 77.28, all P<0.01). There were significant differences in the resilience (F=4.47, P<0.01), the power (F=5.59, P<0.01), the optimism (F=2.35, P=0.033) and total score of psychological resilience (F=7.23, P<0.01) between the two group.Logistic regression analysis showed that attack in early age(B=2.57, P=0.024, OR(95%CI)=13.07(1.01-169.54))was a risk factor for psychotic symptoms in patients with depression.No experience of childhood abuse (B=-1.95, P=0.003, OR(95%CI)=0.14(0.04-0.52)), the higher psychological resilience level(B=-2.54, P<0.01, OR(95%CI)=0.08(0.02-0.27)), mild to moderate depression (B=-1.33, P=0.013, OR(95%CI)=0.27(0.09-0.76))were protective factors of psychotic symptoms in patients with depression. Conclusion Psychological resilience may be the protective factor for psychotic symptoms in patients with depression while childhood abuse may be a risk factor.
作者
杜洋
季益富
Du Yang;Ji Yifu(Department of Psychology, Anhui Medical University, Hefei 230032, China;Department of Psychiatry, the Fourth People's Hospital of Hefei, Hefei 230032, China)
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2019年第6期505-509,共5页
Chinese Journal of Behavioral Medicine and Brain Science
关键词
抑郁症
伴精神病性症状
童年期虐待
心理弹性
Depression
Psychotic symptoms
Childhood abuse
Psychological resilience
