躯体症状障碍共病抑郁症患者心理社会特征研究

Study on the psychosocial characteristics of depression patients with comorbidity of somatic symptoms

目的探讨躯体症状障碍和抑郁症共病的人口学特征、个性特征、认知情绪调节、家庭功能、社会支持、应对方式等心理社会特征及对抑郁的影响。方法采用一般情况调查问卷、人格特质测量问卷(NEO-FFI)、认知情绪调节问卷(CERQ-C)、家庭功能评定量表(FAD)、社会支持评定量表(SRSS),简易应对方式问卷(SCSQ)对89例躯体症状障碍共病抑郁症患者(抑郁组)和71例躯体症状障碍非共病抑郁症患者(非抑郁组)进行相关心理社会特征的调查分析及对抑郁的影响分析。结果 2组家庭人均收入、性别、职业、文化、病程差异有统计学意义(P<0.05)。2组NEO-FFI:神经质[(3.32±0.25)分与(2.21±0.14)分]、宜人性[(3.19±0.15)分与(3.38±0.33)分]得分比较,差异均有统计学意义(P<0.05)。2组CERQ-C:重新关注计划[(11.18±2.12)分与(9.88±3.36)分]、积极重新评价[(9.38±3.29)分与(11.56±3.23)分]、理性分析[(11.14±2.50)分与(9.45±2.23)分]、灾难化[(12.17±1.55)分与(10.48±2.39)]分、责难他人[(11.55±1.62)分与(10.40±1.80)分]得分等比较,差异均有统计学意义(P<0.05)。抑郁组个性特征、认知情绪、家庭功能、社会支持、应对方式多因子之间有明显的相关性(P<0.05)。Logistic多元回归分析显示:进入方程的变量为家庭人均收入、性别、职业、文化、病程、神经质、社会支持总分、积极重新评价、重新关注计划、积极应对、情感介入、理性分析、宜人性、消极应对、灾难化,各变量联合可以解释抑郁95.9%的变异。结论躯体症状障碍共病抑郁症患者与非共病抑郁症患者的人口学特征、个性特征、认知情绪调节、家庭功能、应对方式、社会支持某些因子及对抑郁的影响有所不同。

Objective To study the psychological and social features of somatic symptom associated with depression patients on demographic characteristics, personality, cognitive emotion regulation, family function, social support, coping style and the impact to de- pression. Methods Questionnaire were used, NEO - FFI, CERQ - C, FAD, SRSS, and simply coping style questionnaire for 89 somatic symptom combined with disorder depression patients （depression group）, and 71 symptom associated with disorder non -depression pa- tients （ non - depression group） were analyzed the related psychological and social features and the effect to depression. Results The income, gender, occupation, education and courses of disease were different in two groups （ P 〈 O. 05 ）. NEO - FFI were significantly dif- ferent between two groups： nervousness [ （3.32 ±0. 25 ） vs. （2.21 ±0. 14） ], agreeableness [ （ 3.19±0. 15 ） vs. （ 3.38±0.33 ） ], （ P 〈 0.05 ）. CERQ - C were significantly different between two groups ： refocus plans ： [ （ 11.18± 2.12） vs. （9.88 ± 3.36） ], actively re - assessment [ （9.38 ± 3.29） vs. （ 11.56 ± 3.23 ） ], reasonable [ （ 11.14 ± 2.50） vs. （9.45 ± 2.23 ） ], catastrophization ： [ （ 10.48 ± 2.39） vs. （ 12.17± 1.55 ） ], condemn： [ （ 11.55 ± 1.62） vs. （ 10.40 ± 1.80） ] （ P 〈 0.05 ）. The personality, cognitive emotion, family function, social support, coping style had obvious correlation （ P 〈 0. 05 ）. Logistic multiple regression analysis ： the family income, gender, occupation, education, courses of depression, nervousness, totality of social support, active re - assessment, re - focus plan, active coping style, emotion intervention, reason ale, agreeableness, negative coping style and catastrophization had obvious predictability. By five fac- tors,it easily explained the variability of 95.9% depression sufferers. Conclusion The demographic characteristics, personality, cogni- tive emotion regulation, family function, coping style, social supporting factors of somatic symptom associate disorder depression patients and symptom combine disorder non - depression patients are disparate.