摘要
目的:分析产后抑郁症(PPD)患者认知模式的影响因素及其与人格特征、应对方式、社会支持之间的相关性。方法:将我院接诊的103例PPD患者纳入PPD组,另将我院同期118例健康产妇纳入对照组,比较PPD患者与健康产妇的功能失调性态度问卷(DAS)、自动思维问卷(ATQ)、艾克森人格问卷成人版(EPQ)、特质性应对方式问卷(TCSQ)、社会支持评定量表(SSRS)评分,比较不同人口学特征、不同产科因素PPD患者的DAS、ATQ评分,并分析DAS、ATQ评分与EPQ、TCSQ、SSRS评分的相关性。结果:PPD组与对照组间DAS(t=7.858,P<0.05)、ATQ(t=11.773,P<0.05)、EPQ(t=6.198,5.103,-3.271,-3.342;P<0.05)、TCSQ(t=-3.519,5.664;P<0.05)、SSRS(t=-2.514,P<0.05)评分的差异具有统计学意义(P<0.05);年龄(F=3.550,60.229;P<0.05)是显著影响PPD患者DAS评分、ATQ评分等因素(P<0.05);DAS评分与消极应对评分呈正相关(r=0.202,P<0.05),与积极应对(r=-0.207,P<0.05)、SSRS评分(r=-0.231,P<0.05)呈负相关;ATQ评分与消极应对评分呈正相关(r=0.607,P<0.05),与掩饰性量表(r=-0.224,P<0.05)、SSRS评分(r=-0.468,P<0.05)呈负相关。结论:PPD患者易出现功能失调性认知障碍,年龄是影响其认知模式的主要因素,且与患者人格特征、应对方式、社会支持密切相关。
Objective:To analyze the influencing factors of cognitive model in postpartum depression(PPD)patients and their correlation with personality,coping styles and social support.Methods:A total of A total of 103 cases of PPD patients admitted to our hospital were included in the PPD group,and another 118 healthy puerperae at the same period in our hospital were included in the control group.The scores of dysfunctional attitude scale(DAS),automatic thinking questionnaire(ATQ),Exxon personality questionnaire(EPQ),trait coping style questionnaire(TCSQ)and social support rating scale(SSRS)were compared between PPD patients and healthy puerperae,and the DAS and ATQ scores were compared among PPD patients with different demographic characteristics and different obstetrical factors,and the correlations between DAS and ATQ scores and EPQ,TCSQ and SSRS scores were analyzed.Results:There were significant differences in the scores of DAS(t=7.858,P<0.05),ATQ(t=11.773,P<0.05),EPQ(t=6.198,5.103,-3.271,-3.342;P<0.05),TCSQ(t=-3.519,5.664;P<0.05)and SSRS(t=-2.514,P<0.05)between the PPD group and the control group(P<0.05).Age was the factor that significantly affected the scores of DAS and ATQ of PPD patients(P<0.05).DAS score was positively correlated with negative coping score(r=0.202,P<0.05)but was negatively correlated with positive coping score(r=-0.207,P<0.05)and SSRS score(r=-0.231,P<0.05).ATQ score was positively correlated with negative coping score(r=0.607,P<0.05)but was negatively correlated with disguise scale(r=-0.224,P<0.05)and SSRS score(r=-0.468,P<0.05)(P<0.05).Conclusion:PPD patients are prone to dysfunctional cognitive impairment,and is the main factor affecting the cognitive model,and the factors are closely related to the personality,coping styles and social support of patients.
作者
张玉
江琳
ZHANG Yu;JIANG Lin(Shiyan Maternal and Child Health Hospital,Shiyan 442000,China)
出处
《中国健康心理学杂志》
2019年第7期978-982,共5页
China Journal of Health Psychology
基金
湖北省自然科学基金(编号:2016CBD0298)
关键词
产后抑郁症
认知模式
人格特征
应对方式
社会支持
Postpartum depression
Cognitive model
Personality
Coping styles
Social support
