童年丧亲对抑郁症患者个性及临床特征的影响

A comparative study of personalities and clinical features between depressive patients with and without childhood bereavement

目的了解童年丧亲对抑郁症患者个性和临床方面特征。方法采用艾森克个性问卷测评 5 6例童年丧亲抑郁症患者 (A组 )及 15 0例童年父母双全的抑郁症患者 (B组 )进行对照研究。结果A组E分( 13 .89± 2 .83 )显著较低、N分 ( 14 .87± 4.70 )显著较高、焦虑 ( 5 1例 )和自杀行为 ( 4 2例 )显著较多、临床显效率显著较低 ( 62 .5 % )、病程迁延者显著多于B组。结论童年丧亲患者个性更为内向且情绪更趋向不稳定 ,更易出现焦虑和自杀行为 ,临床疗效较差 ,预后不良。

Objective To compare the personalities and clinical features between depressive patients with and without childhood bereavement. Methods Fifty-six depressive patients with childhood bereavement (group A) and 150 counterparts without it (group B) were assessed with eysenck personality questionnaire (EPQ) and a self-made questionnaire. Results Scores E dimension were lower, while scores in N were higher in group A than that of group B,but scores N were higher Significant differences were also found between two groups in clinical data about anxiety, suicide, the improvement rate and disease course. Conclusions Depressive patients with childhood bereavement have more introversive personalities, more unstable temperaments and are easier to have symptoms of anxiety and suicide. It seems less satisfying for these patients in the clinical efficacy.