心理韧性在抑郁症患者童年创伤、抑郁中的中介作用

Mediating effect of psychological resilience in childhood trauma and depression in patients with depression

目的:探讨抑郁症患者心理韧性在童年创伤和抑郁发作之间的作用,研究心理韧性与抑郁症的关系。方法:应用抑郁自评量表(SDS)、心理弹性量表(CD-RISC)、儿童期不良经历问卷(CTQ-SF),采用简单随机抽样的方法对山东省济宁市某医院住院部的100名抑郁症患者进行调查取样,用SPSS 22.0对结果进行统计分析。结果:童年创伤经历得分,男性显著高于女性,中老年显著高于青年;小学及其以下学历显著高于初中以上学历。(t=3.387,-2.777;F=3.250,P<0.05);心理韧性得分,青年组显著高于中老年组(t=2.381,P<0.05);抑郁得分有家族史的抑郁得分显著高于无家族史得分(t=2.040,P<0.05)。心理韧性与抑郁、童年创伤呈显著负相关(r=-0.727,-0.262;P<0.05)。中介效应检验可知,童年创伤对抑郁的直接效应显著(β=0.330,P<0.05),加入心理韧性后,童年创伤对抑郁的预测作用显著(β=0.255,P<0.05)。结论:童年创伤经历多,心理韧性越差,抑郁症状更严重。童年创伤、心理韧性、抑郁三者之间显著相关且心理韧性起部分中介作用。童年创伤能有效预测抑郁发生,并且可以通过增加个体的心理韧性减轻抑郁情绪。男性较女性受到更多的童年创伤。

Objective:To explore the role of psychological resilience in childhood trauma and depression in patients with depression,and to study the relationship between psychological,resilience and depression.Methods:Self-Rating Depression Scale(SDS),Connor-Davdson Reilience Scale(CD-RISC)and childhood Trauma Questionnaire-28 Item Short Form(CTQ-SF)were used to investigate and sample 100 patients with depression in the inpatient department of Dazhuang Hospital in Jining City,Shandong Province.The results were statistically analyzed by SPSS22.0.Results:①The score of childhood trauma experience in male was significantly higher than that in female,and that in middle and old age was significantly higher than that in youth,and that in primary school and below was significantly higher than that in junior middle school(t=3.387,-2.777,F=3.250;P<0.05).The score of psychological resilience in the young group was significantly higher than that in the middle-aged group(t=-2.381,P<0.05).The score of depression with family history was significantly higher than that without family history(t=2.040,P<0.05).②There was a significantly negative correlation between psychological resilience and depression.There was a significantly negative correlation between childhood trauma and depression(r=-0.727,-0.262;P<0.05).The results showed that the direct effect of childhood trauma on depression was significant(β=0.330,P<0.05).Childhood trauma had a significant predictive effect on depression(β=0.255,P<0.05).Conclusion:①There are many experiences of childhood trauma,the worse the psychological resilience is,the more serious the depressive symptoms are.②There is a significant correlation among childhood trauma,psychological resilience and depression,and psychological resilience plays a partial intermediary role.Childhood trauma can effectively predict the occurrence of depression,and can reduce depression by increasing individual psychological resilience.③The more childhood trauma in male population,the higher the level of depression.