抑郁障碍患者情绪调节的性别差异

Gender differences in emotional regulation in patients with depression disorder

目的 探讨不同性别抑郁障碍患者情绪调节方式的差异。方法 收集308例抑郁障碍患者一般及临床资料,进行HAMD-24项问卷及认知情绪调节问卷(CERQ)调查,并进行性别间比较分析。结果 HAMD-24总分及其中自杀意念评分两性患者间比较差异无统计学意义;CERQ评分显示,男性患者理性分析及责难他人评分明显高于女性患者(t=2.33,P=0.02;t=2.47,P=0.01);相关分析显示,男性患者中,HAMD-24总分与其中的自杀意念评分及CERQ中的自责、接受维度评分呈正相关,与积极重新关注、积极重新评价维度评分呈负相关(P均<0.01);女性患者中,HAMD-24总分与其中的自杀意念评分及CERQ中的自责、接受、责难他人维度评分呈正相关,与积极重新关注、积极重新评价、重新关注计划维度评分呈负相关(P<0.05或P<0.01)。结论 不同性别的抑郁障碍患者情绪调节方式均受病情严重程度的影响,引导患者修正对自我的不恰当的负性评价,尽快摆脱应激事件的不良影响,可能有助于减少患者的自杀意念,减轻抑郁症状。

Objective To explore the gender differences of emotion regulation in patients with depressive disorder.Methods The general and clinical data of 308 patients with depressive disorder were collected.The patients were investigated with HAMD-24 questionnaire and Cognitive Emotion Regulation Questionnaire(CERQ),and compared between sexes.Results There was no significant difference in the total score of HAMD-24 and the score of suicidal ideations between male and female patients;CERQ score showed that the scores of rational analyses and blaming others in male patients were significantly higher than those in female patients(t=2.33,P=0.02;t=2.47,P=0.01).Correlation analysis showed that the total score of HAMD-24 was positively correlated with the score of suicidal ideation and the score of self-blame and acceptance in CERQ,and negatively correlated with the score of positive re attention and positively re-evaluate dimensions(P<0.01).In female patients,the total score of HAMD-24 was positively correlated with the score of suicidal ideation and the score of self-blame,acceptance and blaming others in CERQ,and negatively correlated with the score of positive re attention,positive reevaluation and re attention plan(P<0.05 or P <0.01).Conclusion The emotional regulation of patients with depression of different genders is affected by the severity of the disease,guiding patients to correct their inappropriate negative evaluation of themselves and get rid of the adverse effects of stress events as soon as possible may help to reduce patients’ suicidal ideation and reduce depressive symptoms.