情感障碍患者的心理特征及其厌恶度与自杀观念的相关性分析

Correlation between Psychological Characteristics and Aversion and Suicidal Ideation in Patients with Emotional Disorders

目的分析情感障碍患者的心理特征,探讨其厌恶度与自杀观念的相关性。方法选取120例情感障碍患者作为观察组,60例生理和心理均健康人群作为对照组。采用汉密尔顿抑郁量表(HAMD)、杨氏躁狂评定量表(YMRS)、修订版外显攻击行为量表(MOAS)、他人厌恶度量表(T1)、自我厌恶感量表中文版(SDS-C)、自尊量表(SES)、自我和谐量表(SCCS)、特质愤怒量表(TAS)、生活事件量表(LES)、中文版心理弹性问卷(CD-RISC)、自杀态度问卷(QSA)对2组研究对象进行评价。比较2组各量表总分的差异,分析观察组患者T1、SDS-C和LES3个量表总分与HAMD总分和QSA各维度评分的相关性。结果与对照组比较,观察组SES和CD-RISC总分显著降低(P<0.01),HAMD、YMRS、MOAS、T1、SDS-C、SCCS、TAS、LES、QSA总分显著升高(P<0.01)。观察组QSA各维度评分均显著低于对照组(P<0.01);T1、SDS-C和LES3个量表的总分与HAMD总分均呈显著正相关(P<0.01),与QSA各维度评分均呈显著负相关(P<0.01)。结论采用相关问卷进行情感障碍的早期筛查,对疾病的早期诊断和干预措施的实施至关重要,对已诊断情感障碍的患者进行对自我、他人及生活事件的厌恶度评估有利于临床快速判断其自杀倾向的风险。

Objective To explore the correlation between psychological characteristics and aversion and suicidal ideation in patients with emotional disorders. Methods One hundred and twenty patients with emotional disorders (observation group) and 60 subjects with physical and mental health (control group)were surveyed using the Hamilton Depression Scale (HAMD),Young’s Mania Rating Scale (YMRS),Modified Overt Aggression Scale (MOAS),Others Aversion Scale (T1),Chinese Version of Self-Aversion Scale (SDS-C),Self-Esteem Scale (SES),Self-Consistency and Congruence Scale (SCCS),Trait Anger Scale (TAS),Life Events Scale (LES),Chinese Version of Connor-Davidson Resilience Scale (CD-RISC),and Suicide Attitude Questionnaire (QSA).The total scores of each scale were compared between the two groups,and the relationships of total scores of T1,SDS-C and LES to total scores of HAMD and QSA scores for each dimension were analyzed. Results Compared with control group,the total scores of SES and CD-RISC and the scores of QSA for each dimension decreased,but the total scores of HAMD,YMRS,MOAS,T1,SDS-C,SCCS,TAS,LES and QSA increased in observation group ( P <0.01).The total scores of T1,SDS-C and LES were positively correlated with the total scores of HAMD,but negatively related to the scoresof QSA foreach dimension( P <0.01). Conclusion Early screening of emotional disorders with the related questionnaires is very important for early diagnosis of diseases and implementation of interventions.The evaluation of patients’aversion to self,others and life events is helpful to quickly judge the risk forsuicidal tendency.