海洛因依赖者认知情绪调节策略与抑郁障碍的相关性

The relationship between cognitive emotional regulation strategies and depressive disorder in heroin addicts

目的探讨海洛因依赖者认知情绪调节策略与抑郁障碍的相关性.方法采用流调用抑郁自评量表和认知情绪调节问卷对102例海洛因依赖者(海洛因依赖组)和114名健康志愿者(对照组)进行调查分析.结果海洛因依赖组流调用抑郁自评量表总分显著高于对照组(P<0.01);认知情绪调节问卷责难他人、灾难化因子分及适应不良认知情绪调节策略总分均显著高于对照组(P<0.01),沉思、接受、积极重新关注、理性分析因子分及适应性认知情绪调节策略总分均显著低于对照组(P<0.01).海洛因依赖组流调用抑郁自评量表总分与认知情绪调节问卷自我责难、责难他人、灾难化因子分及适应不良认知情绪调节策略总分均呈显著正相关(P<0.05或0.01),与接受、积极重新关注、积极重新计划、理性分析因子分及适应性认知情绪调节策略总分均呈显著负相关(P<0.05或0.01).多元逐步回归分析进入回归模型认知情绪调节策略因子包括责难他人、灾难化、积极重新关注以及接受,可以解释抑郁障碍38.2%的变异量.结论海洛因依赖者存在明显的抑郁情绪,遭遇负性生活应激时多采用责难他人、灾难化及自我责难等适应不良的认知情绪调节策略应对,临床工作中应采取个体化心理干预改善其认知情绪调节策略及抑郁障碍问题.

Objective To explore the relationvship between cognitive emotion regulation strategies and de-pressive disorder in heroin addicts. Methods 102 heroin addicts (the heroin addicts group) and 114 health-y volunteers (the control group) were investigated by using the Center for Epidemiological Survey Depres sion Scale(CES-D) and Cognitive Emotion Regulation Questionnaire(CERQ). Results The CES-D scores of heroin addicts were significantly higher than those of the control (P<0. 01). The total scores of CERQ blaming others, catastrophic factor scores, and maladaptive cognitive emotion regulation strategies were significantly higher than those of the control group (P<0. 01). The scores of rumination, acceptance, re-focusing, perspective factors and adaptive cognitive strategy subscale in the heroin addicts were significant-ly lower than those of the control group (P<0. 01). The CES-D scores was vsignificantly positively correla-ted with self-blame, blaming and catastrophizing factors of CERQ (P<0. 05 or 0. 01), and negatively cor-related with acceptance, refocusing, planning and perspective factors in the heroin addicts (P<0. 05 or 0. 01). Factors that entered the regression model included blaming, catastrophizing, refocusing and accept-ance which could explain 38. 2 percent of the variation in depressive disorder. Conclusions There was ob-vious depression in heroin addicts who usually adopted such maladaptive cognitive emotion regulation strat-egies such as blaming, catastrophizing and self-blame when encountering negative stress. So,individual psychological intervention should be adopted in clinical work to improve their cognitive emotion regulation strategies and depression disorders.