摘要
目的:探讨抑郁症伴精神病性症状患者童年期虐待及与依恋类型的关系。方法:选取安徽省精神卫生中心门诊及住院抑郁症患者160例,其中抑郁症伴精神病性症状患者和抑郁症不伴精神病性症状患者各80例,采用儿童期虐待问卷-简易版(CTQ-SF)和亲密关系经历量表(ECR)评估童年期虐待与依恋类型。结果:伴精神病性症状患者组CTQ-SF各维度得分及ECR的2个分量表得分均高于不伴精神病性症状患者组(均P<0.05)。安全型依恋是抑郁症伴精神病性症状的保护性因素(OR=2.25),而不安全依恋是抑郁症伴精神病性症状危险因素(OR=14.84),其中恐惧型依恋的风险最大(OR=8.79)。结论:童年期虐待和不安全依恋可能是抑郁症伴精神病性症性症状患者发病的相关因素。
Objective:To explore the relationship between childhood abuse and attachment type in patients with major depressive disorder with psychotic features.Methods:Totally 160 outpatients and inpatients with major depressive disorder in were selected,among them,80 cases with psychotic features and 80 cases without psychotic features.They were assessed with the Childhood Trauma Questionnaire-Short Form(CTQ-SF) and Experiences in Close Relationships Inventory(ECR) for evaluating childhood abuse and attachment types respectively.Results:The scores of CTQ-SF dimensions and the ECR subscales were higher in the patients with psychotic features than those without psychotic features(Ps<0.05).Safe attachment was a protective factor(OR=2.25) for major depressive disorder with psychotic features,while unsafe attachment was a risk factor for major depressive disorder with psychotic features(OR=14.84),especially fear attachment(OR=8.79).Conclusion:It suggests that childhood abuse and unsafe attachment may be related factors of major depressive disorder with psychotic features.
作者
杜洋
季益富
王安珍
伍晓艳
关建军
严凡凡
吴惠玲
孙健
DU Yang;JI Yifu;WANG Anzhen;WU Xiaoyan;GUAN Jianjun;YAN Fanfan;WU Huiling;SUN Jian(Medical Psychology Department, Anhui Medical University, Hefei 230031,China;Affiliated Psychologcal Hospital of Anhui Medical Universiy, Anhui Mental Health Center, Hefei 230031,China;Department of Maternal, Child & Adolescent Health,School of Public Health, Anhui Medical University, Hefei 230031,China)
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2019年第8期587-591,共5页
Chinese Mental Health Journal
关键词
抑郁症伴精神病性症状
童年期虐待
依恋
major depressive disorder with psychotic features
childhood abuse
attachment
