摘要
目的探讨临床抑郁青少年行为抑制系统(BIS)和行为激活系统(BAS)的特点。方法根据CCMD-3诊断标准,筛选46名临床抑郁青少年,以35名健康青少年为对照组,采用行为抑制/激活系统问卷、Beck抑郁问卷和医院焦虑抑郁量表进行测评。结果(1)单纯抑郁亚组[(13.70±1.72)分]和对照组[(12.714-2.55)分]行为抑制系统得分均高于焦虑共病抑郁亚组[(15.84±2.36)分,P〈0.01];单纯抑郁亚组[(34.00±4.94)分]、焦虑共病抑郁亚组[(35.88±6.80)分]行为激活系统得分低于对照组[(39.11±5.06)分,P〈0.05];(2)首发[(15.284-1.56)分]和复发抑郁组[(14.96±2.63)分]行为抑制系统得分高于对照组[(12.71±2.55)分,P〈0.01];复发抑郁组[(34.58±6.63)分]行为激活系统得分则较低(P〈0.01);(3)与对照组相比,服药[(15.30±2.48)分]与未服药抑郁青少年[(14.60±1.82)分]行为抑制系统得分较高(P〈0.01),服药组行为激活系统[(34.52±5.78)分]得分较低(P〈0.01)。结论单纯抑郁与焦虑抑郁共病青少年在行为抑制/激活系统上表现出各自的特点。BIS主要反映抑郁焦虑共病,BAS则反映抑郁症状,BAS可能是反映临床抑郁变化的敏感指标。
Objective To explore the characters of behavioral inhibition/activation systems in clinical depressed adolescents. Methods According to CCMD-3 diagnostic criteria ,46 depressed adolescents and 35 healthy adolescents were selected and assessed by Behavioral Inhibition/Activation System Scale, Beck Depression Inventory and Hospital Anxiety and Depression Scale. Results ( 1 ) Compared with subgroup of mixed depression-anxiety ( 15.84 ± 2.36 ), depression only subgroup( 13.70 ± 1.72) and control group( 12.71 ±2.55) scored higher in B1S (P 〈 0.01 ). And the two depressed subgroups (34.00 ± 4.94,35.88 ±6.80) scored lower than control group ( 39. 11 ±5.06 ) in BAS (P 〈 0.05 ). (2) Compared with healthy controls (39.11±5.06 ), depressed adolescents in first-episode ( 15.28 + 1.56) and recurrent ( 14.96 ±2.63 ) scored higher in BIS (P 〈 0. 01 ). Adolescents in recurrent (34.58 ±6.63 ) scored lower in BAS(P 〈 0.01 ). (3) Compared with healthy controls, medication ( 15.30 + 2.48) and unmedicated depressed adolescents ( 14.60 ± 1.82) scored higher in BIS (P 〈 0.01 ). Medication adolescents (34.52 ± 5.78) scored lower in BAS(P 〈 0.01 ). Conclusion The BIS/BAS of depressed adolescents have their characters. BIS reflects mixed depression and anxiety. BAS reflects depression and may be a vulnerable index of clinical depression.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2013年第3期193-195,共3页
Chinese Journal of Behavioral Medicine and Brain Science
基金
教育部人文社会科学青年项目(10YJCXLX024)
四川省教育厅基地重点项目(10ZX013)
关键词
行为抑制系统
行为激活系统
青少年
Behavioral inhibition system
Behavioral activation system
Adolescents