抑郁症与抑郁/焦虑共病患者的人格特征及社会支持对比研究

A controlled study on personality trait and social support of patients with depression and with comorbidity of depression and anxiety disorder

目的探讨抑郁症与抑郁/焦虑共病患者的人格特征及社会支持的特点及与正常人的差异。方法对同时符合美国精神疾病和统计手册第四版(DSM-IV)抑郁障碍和焦虑障碍诊断标准的36例患者(共病组)与33例仅符合抑郁障碍诊断者(抑郁症组)分别进行艾森克个性问卷(EPQ)和社会支持评定量表(SSRS)评定,并与30名正常人(正常组)对照,然后进行对比分析。结果共病组和抑郁症组的EPQ-N、L因子分均高于正常组,EPQ-E因子分低于正常组,差异有显著性(P<0.05或P<0.01),SSRS总分及主观支持和对支持利用度两个因子分均低于正常组(P<0.05或P<0.01)。共病组与抑郁症组的EPQ和SSRS总分及因子分组间差异无显著性(P>0.05)。结论抑郁症与抑郁/焦虑共病患者均具有神经质、内向和过度掩饰的个性特征,需要更多的社会支持。

Objective To explore the personality trait and social support of patients with depression and of those with comorbidity of depression and anxiety disorder. Methods Totally 36 cases with depression （ the depression group） and 33 eases with depression and anxiety disorder （the comorbidity group） met of Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition （DSM-IV） were assessed with Eysenck personality questionnaire （EPQ） and were evaluated with social support rating scale （SSRS）. The data were compared with 30 healthy （the normal group）. Results The N and L factor scores of EPQ in both depression group and comorbidity group showed significantly higher than those in the normal group and E factor scores of EPQ showed significantly lower （P 〈0. 05 or P 〈0. 01 ）. Both in depression group and comorbidity group,the total score of SSRS, subjective support and the degree of using support showed significantly lower than those in the normal group （ P 〈 0. 05 or P 〈 0. 01 ）. Conelussion Patients with depression and those with comorbidity of depression and anxiety disorder tended to be characterized by neuroticism,introversion and over reliabliity, and needed more emotionally social support.