抑郁症患者应对方式对抑郁症状的影响:人际不信任的中介效应

The Effect of Coping Style on Depressive Symptom of Depression Patients:Mediating Effect of Interpersonal Distrust

目的:比较抑郁症患者和正常人群之间应对方式倾向与人际不信任的差异,构建并验证人际不信任在抑郁症患者的抑郁症状与应对方式之间的中介效应。方法:使用抑郁自评量表、应对方式问卷和进食障碍问卷人际不信任分量表对130名抑郁症患者和76名正常对照组进行测试。结果:(1)抑郁症患者人际不信任明显强于对照组(t=6.648,P<0.01);(2)抑郁症患者在采用积极应对方式上明显少于对照组(t=-10.639^-5.097,P<0.01),在采用消极应对方式上明显多于对照组(t=3.803~6.679,P<0.01);(3)中介模型拟合良好,适配度高,模型成立。结论:抑郁症患者消极应对方式较正常人群更多,而积极应对方式更少;人际不信任能够中介消极应对方式和抑郁症状的关系。

Objective：To compare the difference of coping style and interpersonal between depression patients and the normal , and test the mediation effects of interpersonal distrust between depressive symptom and coping style. Methods： 130 depression patients and 76 normal controls completed measures of the self--rating depression scale, coping style questionnaire and eating disorder inventory interpersonal distrust subscale.Results：①Depression patients interpersonal distrust was significantly higher than the control group （t = 6. 648, P 〈0.01 ）. ② Depression patients＇ positive coping style were significantly less than the control group（t =-10.639～-5.097,P〈0.01）,and negative coping styles were significantly more than the control group（t = 3.803 ～6.679, P 〈0.01）.③The fit of model was well. Conclusion. Depression patients＇ negative coping style is more than the normal, positive coping style is less than the normal, interpersonal distrust partially mediates the association between positive coping style and depressive symptom.