抑郁症患者儿童期不良家庭环境与成年后应对及归因方式的相关性研究

Relationship between childhood family abuse and the coping and attributional styles in adulthood among patients with depression

目的探讨抑郁症患者儿童期不良家庭环境和成年后归因方式与应对方式的相关性。方法对182例重性抑郁障碍患者和120名健康人群进行儿童期不良家庭环境调查表(CECA)、特质应对方式问卷(TCSQ)、归因方式问卷(ASQ)调查。用SPSS19.0软件进行数据分析。结果①抑郁症患者儿童期不良家庭环境、消极应对和消极归因均显著高于健康对照组(P<0.01),积极应对显著低于健康对照组(P<0.01)。②抑郁症患者儿童期不良家庭环境与消极归因和消极应对以及抑郁总分值呈正相关(P<0.01),与积极应对呈负相关(P<0.01)。③儿童期不良家庭环境中的母憎恨和母忽视对消极归因与消极应对以及抑郁症状有显著预测性(P<0.05)。结论抑郁症患者儿童期不良家庭环境情况多于健康人群,且与成年后归因和应对方式偏消极存在相关关系,对成人后归因和应对方式偏消极及抑郁症状具有预测性。

Objective To investigate the relationship between childhood family abuse and the coping and attributional styles in adulthood among patients with depression. Methods A total of 182 patients with major depressive disorder(MDD) and 120 healthy individuals were surveyed with Childhood Experience of Care and Abuse(CECA)questionnaire, Trait Coping Style Questionnaire(TCSQ), and Attributional Styles Questionnaire(ASQ). Data was pro-cessed using SPSS 19.0 software. Results Compared with the healthy subjects, the MDD patients were significantly more likely to experience childhood family abuse, presented negative(P<0.01) rather than positive coping and attributional styles(P<0.01). Among MDD patients, the childhood family abuse was positively correlated with negative attribu-tion score, negative coping score and total depression score(P<0.01), and negatively correlated with positive coping score(P<0.01). Maternal antipathy and neglect in childhood family abuse were significantly predictive of negative at-tribution, negative coping and depressive symptoms later in life(P<0.05). Conclusion Compared with healthy subjects, childhood family abuse is more experienced, associated with negative adulthood attributional and coping styles,and is predictive of negative attribution, negative copingand depressive symptoms in adulthood, among MDD patients.