分离(转换)障碍53例儿童青少年患者抑郁焦虑情绪分析

Depression and anxiety of 53 cases of children and adolescents with dissociative(conversion) disorders

目的:探讨儿童青少年分离(转换)障碍患者的临床表现和个性特征与抑郁焦虑情绪关系。方法:回顾性分析重庆医科大学附属儿童医院心理科53例患者的临床资料、艾森克个性问卷儿童版(eysenck personality questionnaire,EPQ)评分、儿童抑郁自评量表(depression self rating scale for children,DSRSC)和儿童焦虑性情绪障碍筛查量表(screen for child anxiety relate emotional disorders,SCARED)分数。结果:本组病例中34例(64.2%)伴发抑郁焦虑情绪。单因素分析显示青少年比儿童更易伴发抑郁情绪(64.5%vs.14.8%,χ2=12.307,P=0.000),情绪不稳定的患者更易伴发焦虑情绪(56.4%vs.11.1%,χ~2=6.013,P=0.014),且抑郁情绪与焦虑情绪显著相关(51.9%vs.23.1%,χ2=4.668,P=0.031)。二元逻辑回归分析显示情绪不稳定与伴发焦虑情绪相关(OR=13.390,95%CI=1.352~132.624,P=0.027),而年龄越大,患者越容易出现抑郁情绪(OR=1.534,95%CI=1.133~2.078,P=0.006)。结论:儿童青少年分离(转换)障碍患者的抑郁焦虑情绪检出率较高,情绪不稳定个性特质的儿童青少年分离(转换)障碍患者易伴发焦虑情绪,年龄大的患者易伴发抑郁情绪。

Objective：To investigate the clinical manifestations and personality characteristics associated with depression and anxiety among children and adolescents cases with dissociative（conversion）disorders.Methods：Clinical data,the Eysenck Personality Questionnaire（EPQ）scores,the Depression Self Rating Scale for Children（DSRSC）scores,and the Screen for Child Anxiety Relate Emotional Disorders（SCARED） scores of 53 pediatric patients with dissociative（conversion） disorders from Children＇s Hospital of Chongqing Medical University were retrospectively analyzed.Results：Thirty-four cases（64.2%） were suffered from depression and anxiety.Results of Chi-squared tests showed that adolescents were at higher risk of depression than children（64.5% vs.14.8%,χ^2=12.307,P〈0.001）,and patients with emotional instability were at higher risk of anxiety（56.4% vs.11.1%,χ^2=6.013,P=0.014）,and depression and anxiety were significantly related to each other（51.9% vs.23.1%,χ^2=4.668,P=0.031）.Binary logistic regression analysis showed that emotional instability was associated with anxiety（OR =13.390,95%CI =1.352 to 132.624,P=0.027）,while patients with older age were at higher risk of depression（OR=1.534,95%CI=1.133 to 2.078,P=0.006）.Conclusion：The detection rate of depression and anxiety are high among children and adolescents with dissociative（conversion）disorders.Emotional instability is associated with anxiety among children and adolescents cases with dissociative（conversion）disorders,and patients with older age are at higher risk of depression.