冠心病患者认知和应对方式与抑郁情绪的关系

The relationship of cognition, coping style and depression in the patients with coronary heart dise ase

目的研究认知和应对方式与冠心病患者伴发抑郁的关系。方法对240例住院冠心病患者应用自评抑郁量表、自动思维问卷、功能失调性态度问卷、特质应对方式问卷进行调查，对收集到的数据运用SPSS11．5进行t检验、相关分析和多元逐步回归分析。结果37．5％的冠心病患者患有不同程度的抑郁情绪；冠心病伴发抑郁情绪与自动思维、功能失调性态度总分及其完美化、强制性、依赖性、认知哲学、积极应对方式、消极应对方式呈显著相关（r=0．524，0．347，0．302，0．458，0．369，0．268，-0．401，0．247）；自动思维、强制性、积极应对三个因子进入抑郁的回归方程（P〈0．01），能解释抑郁总分变异量的39．7％。结论认知评价和应对方式是影响冠心病伴发抑郁情绪的重要因素。

Objective To study the relationship of cognition,coping style and coronary heart disease with depression. Methods A total of 240 cases of coronary heart disease patients were investigated by schedule table SDS, ATQ, DAS and TCSQ. With the SPSS11.5, t -test, correlation analysis and regression analysis were carried out for the collected data. Results （1）37.5% of patients with coronary heart disease suffered from various degrees of depression. （2）Automatic thoughts, dysfunctional attitudes and their perfect scores, mandatory, dependency, cognitive philosophy, actively coping styles, negative coping styles were significantly related to depression extents. （3）Automatically thinking, mandatory, actively coping style entered the regression equation of depression and can explain the 39.7 percent variance. Conclusion Cognition and coping style are the important factors for predicting depression of coronary heart disease.