自动思维在抑郁症患者自我怜悯和心理痛苦间的中介作用

Mediating effect of automatic thoughts on the relationship between self-compassion and mental pain in patients with depression

目的 探讨抑郁症患者心理痛苦、自我怜悯和自动思维变量间的关联。方法 采用便利抽样法,选取2020年10月—2021年11月南京市某三级甲等精神专科医院的263例住院抑郁症患者,以中文版Orbach&Mikulincer心理痛苦量表、中文版自我怜悯量表和自动思维问卷对患者进行调查。使用SPSS 25.0进行Pearson相关性分析和多元线性回归分析,选择SPSS宏程序PROCESS中的模型4进行中介效应分析。结果 抑郁症患者的心理痛苦与自动思维呈显著正相关(P<0.001),与自我怜悯呈显著负相关(P<0.001)。Bootstrap检验结果显示,自动思维在抑郁症患者自我怜悯和心理痛苦间的中介效应为-0.274 (95%CI:-0.356~-0.203),占总效应的59.6%。结论 自动思维在自我怜悯和心理痛苦间起部分中介作用。护理人员应积极开展以影响心理痛苦路径为依据的干预策略,以达到降低抑郁症患者自杀、自伤发生率的目的。

Objective To explore the relationship between mental pain,self-compassion and automatic thoughts in depressed patients. Methods A total of 263 depressed inpatients were selected and tested by the Chinese version of the Orbach & Mikulincer Mental Pain Scale(OMMP),Self-Compassion Scale-Chinese Version(SCS-C),Automatic Thought Questionnaire(ATQ) between 2020 and 2021 from a tertiary psychiatric hospital through convenient sampling. SPSS 25.0 was employed for Pearson correlation analysis and multiple linear regression analysis,and we selected the Model 4 of SPSS PROCESS for mediating effect analysis. Results Mental pain was significantly positively correlated with automatic thoughts(P<0.001) and negatively associated with self-compassion(P<0.001). The results of Bootstrap test showed that the mediating effect of automatic thoughts on the relationship between selfcompassion and mental pain was-0.274(95% CI:-0.356 ~-0.203),accounting for 59.6% of the total effect.Conclusion The automatic thoughts play a partial mediating role on the relationship between self-compassion and mental pain in depressed patients. Based on this path of mental pain,nurses should actively constitute intervention plans,in order to achieve the final goal of decreasing the incidence rate of suicide or self-injury in patients with depression.