摘要
目的:比较抑郁症、焦虑症、强迫症患者主观幸福感的异同,探索主观幸福感稳态理论对三者的适用性。方法:对门诊和病房的抑郁症(n=79)、焦虑症(n=53)、强迫症(n=48)患者,及正常对照组(n=57)被试进行24项汉密顿抑郁量表(HAMD)、幸福感指数问卷测评分析。结果:①抑郁症组、焦虑症组、强迫症组与正常对照组的主观幸福感差异具有统计学意义(F=16.55,P<0.01)。②抑郁症组的主观幸福感得分与绝望感因子分呈负相关(P<0.01),焦虑症组与认知因子分、睡眠因子分、绝望感因子分呈负相关(P<0.05),强迫症组分别与HAMD总分、日夜变化因子分、迟缓因子分、绝望感因子分呈负相关性(P<0.05)。③逐步回归分析结果表明,抑郁症患者的绝望感因子和焦虑因子、焦虑症患者的认知因子和睡眠因子、强迫症患者的绝望感因子是影响各自主观幸福感的主要因素。结论:抑郁症、焦虑症、强迫症患者的主观幸福感均低于正常人;抑郁症患者的主观幸福感更低;均与抑郁症状有关。
Objective: To compare the difference of subjective well-being between patients with major depression disorder ( MDD), anxiety disorders ( AD ) and obsessive-compulsive disorder ( OCD ) and explore the applicability of the Theory of subjective well-being homeostasis to MDD, AD and OCD. Method: Patients with MDD ( n = 79), AD ( n = 53 ) and OCD ( n = 48 ) and control group ( n = 57 ) were measured with Hamilton depression scale(HAMD) and Subjective Well-being Index Questionnaire. Results:①There were significant differences in the scores of subjective well-being index between patients groups (MDD,AD and OCD)and con- trol group ( F = 16. 55, P 〈 0.01 ). ②In MDD group,The scores of subjective well-being index and the despera- tion factor scores are negatively correlated ( P 〈 0.01 ) ; In AD group, The scores of subjective well - being index and the cognition factor scores, the sleep factor scores, the desperation factor scores are negatively correlated ( P 〈 0.05) ;In OCD group, The scores of subjective well-being index and the HAMD scores, the diurnal variation scores, the retardation scores, the desperation factor scores are negatively correlated ( P 〈 0.05 ). ③Stepwise re- gression analysis indicated the desperation factor and the anxiety factor significantly affect the level of subjective well-being in MDD group; the cognition factor and the sleep factor significantly affect the level of subjective well- being in AD group ; the desperation factor significantly affect the level of subjective well-being in OCD group. Conclusion: Subjective well - being in patients with MDD, AD and OCD is lower than control people, and asso- ciated with depressive symptoms.
出处
《临床精神医学杂志》
2013年第1期8-10,共3页
Journal of Clinical Psychiatry
基金
"十一五"国家科技支撑计划重点项目(2009BAI77B07)
江苏省自然科学基金(BK2008083)
南京市医学科技发展青年基金项目(QYK09184)
关键词
主观幸福感
稳态理论
抑郁症
焦虑症
强迫症
subjective well-being
the theory of subjective well-being homeostasis
major depressiondisorder
anxiety disorders
obsessive-compulsive disorder