摘要
目的对抑郁症(Major depressive disorder,MDD)患者的心理弹性现状进行调查以及对相关影响因素进行分析。方法采用横断面调查研究方法,选取2020年1月~2022年1月来我院精神科就诊并确诊为重度抑郁症的患者作为研究对象,并设置同期正常人群作为对照组。收集一般资料问卷、血液指标检查进行单因素分析,采用Pearson或Spearman相关分析心理弹性量表(Connor-Davidson resilience scale,CD-RISC)得分与贝克抑郁量表(Beck depression inventory,BDI)、贝克焦虑量表(Beck Anxiety Inventory,BAI)、领悟社会支持量表(Perceived social support scale,PSSS)、自我接纳问卷(Self Acceptance Questionnaire,SAQ)得分的相关性,并采用分层回归分析得出影响重度抑郁症患者心理弹性的因素。结果MDD组的CD-RISC、BDI、BAI、PSSS、SAQ与正常对照组存在明显差异(P<0.05)。不同年龄、性格、文化程度以及甲状腺功能的MDD患者心理弹性得分比较中,差异有统计学意义(P<0.05),MDD患者BDI、BAI、SAQ与心理弹性水平的呈负相关(P<0.05)。心理弹性与PSSS总分呈正相关(P<0.05)。分层回归分析中显示,抑郁程度、BDI、SAQ是影响MDD患者心理弹性的独立危险因素(P<0.05)。结论MDD患者心理弹性总体处于较低水平,年龄、性格、文化程度、甲状腺功能、BDI、SAQ与心理弹性水平关系密切。
Objective To investigate the status quo of mental resilience in patients with major depression and analyze the related influencing factors.Methods A cross-sectional investigation was used to select patients diagnosed with major depression who came to our hospital from January 2020 to January 2022 as the study objects,and set the normal population as the control group during the same period.General data questionnaire and blood index were collected for univariate analysis.Pearson or Spearman correlation analysis was used to analyze the correlation between the scores of Psychological resilience Scale(CD-RISC)and Baker Depression Scale(BDI),Baker Anxiety Scale(BAI),Perceptive Social Support Scale(PSSS)and Self-acceptance Questionnaire(SAQ).The factors affecting mental resilience of patients with major depression were obtained by hierarchical regression analysis.Results There were significant differences in CD-RISC,BDI,BAI,PSSS and SAQ between MDD group and normal control group(P<0.05).MDD patients with different age,personality,educational level and thyroid function had statistically significant differences in mental resilience scores(P<0.05),and MDD patients with BDI,BAI,SAQ and mental resilience levels were negatively correlated(P<0.05).The total score of PSSS was positively correlated with mental resilience(P<0.05).Hierarchical regression analysis showed that depression degree,BDI and SAQ were independent risk factors affecting mental resilience of MDD patients(P<0.05).Conclusion The mental resilience of MDD patients is generally at a low level,and age,personality,education,thyroid function,BDI,SAQ are closely related to the level of mental resilience.
作者
马莉莉
袁正玮
马兵
张许来
MA Lili;YUAN Zhengwei;MA Bing(Anhui Mental Health Center,Hefei Fourth People's Hospital,Anhui Clinical Research Center for mental disorders,Hefei 230022,China)
出处
《国际精神病学杂志》
2023年第6期1319-1324,共6页
Journal Of International Psychiatry
基金
2019年安徽省重点研究与开发计划项目(编号:201904a07020009)。
关键词
抑郁症
心理弹性
影响因素
自我接纳
社会支持
Depression
Mental resilience
Influencing factors
Self-acceptance
Social support
