伴抑郁情绪原发性高血压患者的功能失调性态度调查

A Study on the Dysfunctional Attitudes of Hypertension Patients with Depression

目的:考察伴抑郁情绪原发性高血压患者的功能失调性态度的特征。方法:对1088例高血压患者进行医院焦虑抑郁量表(HAD)筛选,将评分阳性者再进行汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评分,HAMD≥20分,且HAMA<14分者入选,共获得262名伴抑郁情绪高血压病患者作为研究被试。另外选择长沙的两个社区人群,共计306例作为对照组。采用功能失调性态度问卷(DAS)对其进行测查。结果:①伴抑郁情绪高血压病患者经常持有的功能失调性认知排在前三位放的依次排序为:认知哲学,寻求赞许,强制性;②受试者得分具有明显的性别差异。③除了自主性态度分量表以外,其余功能失调性态度分量表都与抑郁量表得分显著正相关(P<0.05)。结论:伴抑郁情绪原发性高血压患者存在明显的功能失调性认知特征。

Objective： To investigate the dysfunctional attitudes of hypertension patients with depression. Methods： After evaluating 1088 patients with essential hypertension by HAD, patients with HAD positive result were evaluated with HAMD and HAMA. The subjects with positive results （n=262） were compared with the normal group （n=306）. They were assessed with the dysfunctional attitudes scales （DAS）. Results： （1）The sequence of dysfunctional attitudes of hypertension patients with depression were cognition philosophy, seeking applause, and compulsion. （2）Significant gender differences were found in dysfunctional attitudes. （3）Most of the subscales of DAS were significantly positively correlated with depression symptoms（P〈0.05）. Conclusion： Dysfunctional attitudes exists in hypertension patients with depression.