儿童期忽略对抑郁症患者社会支持的影响

The Effect of Childhood Neglect on Social Support in Patients with Depression

目的探讨儿童忽略对抑郁症患者社会支持的影响。方法采用CTQ(童年创伤问卷)作为评估童年创伤的工具。评估随机入组18～45岁抑郁症病人,入组伴儿童忽略抑郁症患者19例,不伴童年忽略抑郁症患者21例,不伴儿童期忽略正常组20例,伴儿童期忽略正常组11例,采用汉密尔顿抑郁量表评估抑郁症状,社会支持量表评估其社会支持。结果不伴儿童忽略正常组社会支持总分显著高于伴与不伴儿童忽略抑郁症组(P=0.003,P=0.000),伴儿童期忽略正常组与不伴儿童期创伤正常组之间无差异(P=0.838);主观支持方面两抑郁症组均比不伴儿童期创伤正常组低(P=0.002);客观支持方面,伴儿童期忽略抑郁症组比不伴儿童期创伤抑郁症病人分高(P=0.025),而两正常组之间(P=0.08)及伴儿童期忽略抑郁症组之间(P=0.845)无显著性差异。支持利用度方面,无儿童期创伤正常组比其他各组均显著增高,而其它各组之间无显著性差异。社会支持总分及各分量表分均与HAMD抑郁分之间呈负相关。结论儿童期忽略对抑郁症病人社会支持功能有一定的影响。

Objective To investigate the effect of childhood neglect on social support in depressive patients. Methods Childhood Trauma Questionnaire was used to assess childhood trauma. 18 to 45 aged subjects were divided into four groups： 19 depressive patients with childhood neglect, 21 depressive patients without childhood neglect, 20 normal controls without childhood neglect and 11 normal controls with childhood neglect. The Hamilton Depression Scale was used to assess depressive symptoms, and the Social Support Scale was used to evaluate the social support. Results The social support scores in normal group without childhood neglect were significantly higher than those in depressive groups with and without childhood neglect （P = 0.003, P = 0.000）, no significant difference was between normal groups with childhood neglect and without childhood neglect （P = 0.838）; the subjective support scores in two depressive patient groups were lower than that in normal group without childhood （P = 0.002）; the objective support scores in depressive patients with childhood neglect were higher than that without childhood neglect （P = 0.025）; no significant difference was between the two normal groups （P = 0.08）. The scores of availability of social support in the normal group without childhood trauma were higher than those in other groups. Total social support scores and subscale scores were negatively correlated with HAMD scores. Conclusions Childhood neglect might affect social support function of depressive oatients.