摘要
目的:探讨抑郁症患者的自动思维、功能失调性认知及应付方式,以及与抑郁严重程度的关系。方法:采用自评抑郁量表(SDS)、自动思维问卷(ATQ)、功能失调性状况评定量表(DAS)及应付方式问卷对60例抑郁症患者分别于治疗前及治疗6周末进行问卷调查,并将治疗前、后测评结果加以比较。结果:①治疗6周末,抑郁症患者的SDS及ATQ评分分别由治疗前的55.74±7.29,84.12±23.57下降至37.16±8.13,53.21±19.34治疗前后差异有显著性意义,(t=13.18,7.85,P均<0.01)。②功能失调性认知方面,除脆弱性、完美性和依赖性评分(治疗前分别为21.43±3.92,20.57±3.82,21.84±4.37),治疗6周末降为19.38±3.19,18.76±3.93,18.93±3.82)差别有非常显著性意义外(t=3.14,2.56,3.88,P<0.05～0.01),其他认知因子评分及总分差别均无显著性意义(t=1.70,1.86,1.83,1.03,1.07,P均>0.05);③应付方式方面,抑郁症患者的退避及自责评分分别由治疗前的0.49±0.23,0.53±0.27下降至0.38±0.21,0.39±0.26,而求助及解决问题评分分别由治疗前的0.37±0.22,0.47±0.29升高至0.48±0.24,0.63±0.33,差异有显著性意义(t=3.01,3.43,2.68,2.78,P均<0.01);但幻想及合理化评分则变化不明显(P>0.05)。结论:抑郁症患者的自动思维及应付方式随抑郁严重程度的变?
AIM:To explore the characteristics of automatic thoughts,dysfunctional cognition and coping style in depressive patients,and their relations with the severity of depression. METHODS:Sixty patients with depression were assessed by self rating depression scale(SDS),automatic thoughts questionnaire(ATQ),dysfunctional attitudes scales(DAS) and coping style questionnaire before and after treatment,and the results were compared. RESULTS:①The scores of SDS and ATQ of the depressive patients reduced to 37.16±8.13 and 53.21±19.34 respectively after 6 week treatment,significantly different from those before treatment(55.74±7.29 and 84.12±23.57,t=13.18,7.45,P< 0.01).②In the aspect of dysfunctional cognition,the scores of frailty,consummation and dependence of the depressive patients before treatment were 21.43±3.92,20.57±3.82 and 21.84±4.37,respectively,and decreased to 19.38±3.19,18.76±3.93 and 18.93±3.82 after treatment,the differences were significant(t=3.14, 2.56,3.88,P< 0.05-0.01),while there were insignificant differences in the scores of other cognitive factors and total scores(t=1.70,1.86, 1.83,1.03,1.07,P >0.05).③In the aspect of coping style,the scores of avoidance and self blame of the depressive patients decreased to 0.38±0.21 and 0.39±0.26 from 0.49±0.23 and 0.53±0.27 before treatment, while the scores of asking for help and solving problems increased to 0.48±0.24 and 0.63±0.33 from 0.37±0.22 and 0.47±0.29 before treatment, the differences were significant(t=3.01,3.43,2.68,2.78,P< 0.01); and there were no obvious changes in the scores of fancy and rationalization (P >0.05). CONCLUSION:The automatic thoughts and coping style change with the severity of depression,and have the characteristic of state;while there is no obvious change of DAS with relative stability.
出处
《中国临床康复》
CSCD
2004年第18期3454-3455,共2页
Chinese Journal of Clinical Rehabilitation
