抑郁症患者应付方式与家庭环境的关系

A study of coping styles and family environment in patients with depression

目的探讨抑郁症患者应付方式与家庭环境的关系。方法采用家庭环境量表和应付方式问卷对90例抑郁症患者进行调查。结果抑郁症患者的家庭环境量表中亲密度[（1．7±0．5）分、成功性（5．8±1．7）分、文化性（3．3±1．9）分]，娱乐性[（3．8±1．8）分]，组织性[（4．7±1．7）分]得分与中国常模比较差异有显著性（均P〈0．01），抑郁症患者应付方式中的解决问题和求助因子与家庭亲密度和成功性正相关（r=0．29，0．32，0．27，0．31，P〈0．05），自责与情感表达呈负相关（r=-0．27，P〈0．05），进一步做多元逐步回归分析，发现解决问题因子与家庭亲密度、成功性、道德宗教观有关，回归方程为解决问题=0．168亲密度＋0．060成功性＋0．044道德宗教观-0．182。自责因子与情感表达有关，回归方程为自责=-0．035情感表达＋1．039。结论抑郁症患者的应付方式与家庭环境有关。

Objective To explore the coping styles and family environment in patients with depression. Methods 90 patients with depression were evaluated with CSQ and FES-CV. Results There were significant differences in the family environment between depression group and normal control group（ P 〈0.01 ）. The factor scores of seeking-help and solving question in depression group positively correlated with the factor scores of family intimacy and success （ r = 0. 29,0. 32,0. 27,0. 31, P 〈 0.05 ）. The factor score of self-accusation in depression group negatively correlated with the factor score of affection expression （ r = - 0.27, P 〈 0.05 ）. Conclusion The coping styles are associated to family environment in patients with depression.