抑郁症患者治疗前后归因方式的比较

Attribution Style of Patients with Depression before and after Treatment

目的探索抑郁症患者治疗后归因方式的变化。方法选取62名住院抑郁症患者,在接受常规药物治疗前后进行抑郁自评量表(SDS)、汉密尔顿抑郁量表(HAMD)和归因方式问卷(ASQ)的测评。同时选取58名无抑郁病史者作为对照组,测量抑郁自评量表(SDS)和归因方式问卷(ASQ)。结果①抑郁症患者的抑郁水平与ASQ得分相关显著(SDS,r=-0.54,P<0.01;HAMD,r=-0.38,P<0.01);②抑郁症患者接受药物治疗后,抑郁状况显著改善(SDS,t=21.43,P<0.01;HAMD,t=28.19,P<0.01);③抑郁症组治疗后ASQ得分有所提高,但未达到显著水平(t=-1.62,P>0.05)。结论抑郁症患者的负性归因方式在治疗后有所改善,但改善不明显,治疗后与对照组差异依然显著。归因方式并非抑郁症的伴随症状,而是抑郁者的一种相对稳定的且具有可变性的类特质。

Objective By comparison with the control group,to explore the change of attribution styles of patients with depression after treatment.Methods A total of 62 hospitalized patients with depression were selected before and after the regular medication,and evaluated with the Self-Rating Depression Scale（SDS）,Hamilton Depression Scale（HAMD）and the Attribution Style Questionnaire（ASQ）.58 people with no history of depression as a control group were evaluated with SDS and ASQ.Results ①Depression were related significantly to ASQ scores（SDS,r=-0.54,P0.01;HAMD,r=-0.38,P0.01）.②After treatment,depression was improved significantly（SDS,t=21.43,P0.01;HAMD,t=28.19,P0.01）.③ASQ total score was increased after treatment,however,no significant difference between pretest and posttest（t=-1.62,P0.05）.Conclusion The negative attribution style of patients with depression doesn＇t significant improvement after treatment.There still remains significant differences with control group after treatment.Attribution style is not a associated symptoms of depression,but a relatively stable and variable trait-like.