抑郁症患者自动思维及应付方式的性别差异

The Gender Difference of Automatic Thoughts and Coping Styles in Major Depression

目的 探讨抑郁症患者自动思维、应付方式变化的性别差异。方法 对 97例抑郁症患者分别在其入、出院时进行测评 ,测评工具包括自评抑郁量表 (SDS)、自动思维问卷和应付方式问卷。此外对 10 0例正常对照亦进行上述测评 ,其中 2 9例在 15～ 2 0天后重测。结果 病人及对照组的自动思维及应付方式无性别差异 ,但病人组SDS得分存在性别差异。性别、自动思维、应付方式各指标的logistic回归分析显示 ,自动思维、幻想、合理化、解决问题有显著性 (P <0 .0 5 ) ,性别、应付方式其他各指标影响无显著性 (P >0 .0 5 ) ;治疗后抑郁症组性别、自动思维、应付方式各指标差值的logistic回归分析表明 ,自动思维的差值有显著性 (P <0 .0 5 ) ,性别、应付方式其他各指标影响无显著性 (P >0 .0 5 )。结论 抑郁症患者的自动思维及应付方式无性别差异 ,自动思维、幻想、合理化、解决问题对抑郁严重程度有显著影响。

Objectives To investigate the gender difference of automatic thoughts and coping styles in major depression on admission and at discharge. Methods A cohort of 97 major depressed in-patients was assessed on admission and at discharge. The assessment included Self-Rating Depression Scale (SDS), the Automatic Thoughts Questionnaire and the Ways of Coping Styles Questionnaire. 100 controls were assessed, too. 29 of them were reassessed 15～20 days later. Results There was no gender difference of automatic thoughts and coping styles in patients and controls. Gender difference of SDS occurred in patients, however. The Automatic Thoughts and fancy, rationalization and problem-solving played a significant role in major depression by using Logistic regression analysis on admission( P <0.05).But gender the other varables of Coping Styles didn't yet( P <0.05).While the Automatic Thoughts did by using Logistic regression analysis on margin of every variable at discharge( P <0.05).And gender and Coping Styles didn't yet( P >0.05). Conclusions There was no gender difference of automatic thoughts and coping styles in patients. The Automatic Thoughts and fancy, rationalization and problem-solving played a significant role in major depression.