發(fā)布時(shí)間：2018-05-17 03:03

  本文選題：抑郁癥 + 情緒調(diào)節(jié)　； 參考：《新鄉(xiāng)醫(yī)學(xué)院》2014年碩士論文

【摘要】：背景抑郁癥是一種常見(jiàn)的心境障礙,其核心癥狀為情緒低落、興趣缺乏和快感缺失,可伴有軀體癥狀、自殺觀念和行為等。世界衛(wèi)生組織認(rèn)為抑郁障礙是困擾人類的終身頑疾,全球約有1億人患抑郁癥,自殺率達(dá)15%；抑郁癥已經(jīng)成為中國(guó)疾病負(fù)擔(dān)的第二大疾病,成為引起自殺死亡和致殘的主要疾病,嚴(yán)重威脅了人們生命財(cái)產(chǎn)安全,降低了人們的生活質(zhì)量。在心理學(xué)方面,情緒調(diào)節(jié)、應(yīng)付方式和心理彈性等在抑郁癥發(fā)病及預(yù)后中起著不可忽視的作用。因此對(duì)抑郁癥患者情緒調(diào)節(jié)、心理彈性及應(yīng)對(duì)方式的研究有重要的理論和實(shí)際意義。目的(1)探討抑郁癥患者與健康人群在情緒調(diào)節(jié)、應(yīng)對(duì)方式和心理彈性之間的差異；(2)探討抑郁嚴(yán)重程度與情緒調(diào)節(jié)、應(yīng)對(duì)方式和心理彈性之間的關(guān)系。方法選取2013年7月至2014年8月在河南省洛陽(yáng)榮康醫(yī)院和洛陽(yáng)市第五人民醫(yī)院門(mén)診及住院治療的90例抑郁癥患者為抑郁癥組,入組患者均符合國(guó)際疾病分類第10版(ICD-10)中抑郁發(fā)作的診斷標(biāo)準(zhǔn),其中男37例,女53例,年齡范圍19-65歲；選擇同期年齡和性別與抑郁癥組相匹配的90例健康志愿者為健康組,男41例,女49例,年齡范圍18-59歲。本研究采用一般情況調(diào)查問(wèn)卷、漢密頓抑郁量表(HAMD)、簡(jiǎn)易應(yīng)對(duì)方式問(wèn)卷(SCSQ)、情緒調(diào)節(jié)方式問(wèn)卷(ERS)、心理彈性量表(CD-RISC)作為研究工具,分析抑郁癥患者與健康人群在情緒調(diào)節(jié)、應(yīng)對(duì)方式和心理彈性之間的差異及抑郁癥嚴(yán)重程度與情緒調(diào)節(jié)、應(yīng)對(duì)方式和心理彈性之間的關(guān)系。全部資料采用SPSS軟件進(jìn)行數(shù)據(jù)處理。結(jié)果(1)兩組在情緒調(diào)節(jié)、應(yīng)對(duì)方式和心理彈性之間的比較抑郁癥組與健康組正情緒比較差異有顯著性：快樂(lè)因子(t=-3.964,P=0.000),興趣因子(t=-3.084,P=0.002)。兩組負(fù)情緒比較憤怒因子(t=0.442,P=0.659)、厭惡因子(t=-1.029,P=0.305)差異無(wú)統(tǒng)計(jì)學(xué)意義,悲傷因子(t=4.082,P=0.000)和恐懼因子(t=2.870,P=0.005)差異有顯著性。兩組被試正負(fù)情緒4種調(diào)節(jié)方式重視、忽視、抑制和宣泄上的使用頻率比較結(jié)果顯示,兩組在正情緒的重視(t=-7.095,P=0.000)、抑制(t=2.839,P=0.005)和宣泄(t=-5.310,P=0.000)上差異有顯著性,在忽視調(diào)節(jié)方式上差異無(wú)統(tǒng)計(jì)學(xué)意義(t=0.560,P=0.576)。在負(fù)情緒調(diào)節(jié)方式中,忽視(t=-3.239,P=0.001)、重視(t=5.194,P=0.000)和抑制(t=2.478,P=0.014)差異有顯著性,宣泄差異無(wú)統(tǒng)計(jì)學(xué)意義(t=1.947,P=0.053)。在應(yīng)對(duì)方式,兩組在積極應(yīng)對(duì)(t=-9.054,P=0.000)和消極應(yīng)對(duì)(t=3.568,P=0.000)上差異有顯著性。對(duì)兩組被試者心理彈性比較研究中,兩組被試在堅(jiān)韌性、樂(lè)觀性、力量性及心理彈性總分上差異有顯著性(P0.001)。(2)抑郁嚴(yán)重程度與情緒調(diào)節(jié)、應(yīng)對(duì)方式和心理彈性的相關(guān)分析抑郁嚴(yán)重程度與快樂(lè)、興趣、厭惡、悲傷、憤怒、恐懼等因子均呈負(fù)相關(guān),除與興趣因子(r=-0.280,P=0.007)及憤怒因子(r=-0.209,P=0.048)有顯著性相關(guān)外,其他均相關(guān)不顯著；與正負(fù)情緒4種調(diào)節(jié)方式相關(guān)分析,抑郁嚴(yán)重程度與正情緒重視調(diào)節(jié)(r=-0.236,P=0.025)顯著負(fù)相關(guān),與負(fù)情緒忽視調(diào)節(jié)(r=-0.297,P=0.005)呈顯著負(fù)相關(guān),其他均相關(guān)不顯著。抑郁嚴(yán)重程度與積極應(yīng)對(duì)呈顯著負(fù)相關(guān)(r=-0.577,P=0.000),與消極應(yīng)對(duì)呈正相關(guān),但相關(guān)不顯著(r=0.082,P=0.440)。抑郁嚴(yán)重程度與力量性因子(r=-0.505,P=0.000)、樂(lè)觀性因子(r=-0.455,P=0.000)、堅(jiān)韌性因子(r=-0.544,P=0.000)和彈性總分(r=-0.561,P=0.000)均呈顯著負(fù)相關(guān)。(3)抑郁嚴(yán)重程度相關(guān)因素的逐步回歸分析回歸分析結(jié)果顯示,積極應(yīng)對(duì)(β=-0.537,P=0.000)和樂(lè)觀性(β=-0.269,P=0.002)對(duì)抑郁嚴(yán)重程度有負(fù)向預(yù)測(cè)作用,消極應(yīng)對(duì)(β=0.194,P=0.023)有正向預(yù)測(cè)作用。結(jié)論(1)抑郁癥患者在應(yīng)對(duì)生活事件時(shí)傾向于采用消極的應(yīng)對(duì)方式,面對(duì)壓力和逆境時(shí)心理彈性較差,情緒調(diào)節(jié)方式上對(duì)正情緒有較多的抑制,較少的宣泄,對(duì)負(fù)情緒有較多的重視,較少的忽視,更容易沉浸在不良情緒中,加重抑郁癥狀。(2)心理彈性高和采取積極應(yīng)對(duì)方式越多的患者抑郁程度越輕,對(duì)負(fù)情緒較少采取忽視調(diào)節(jié)、對(duì)正情緒較少采取重視調(diào)節(jié)的病人抑郁程度較重。
[Abstract]:Background depression is a common mood disorder, with the core symptoms of depression, lack of interest and loss of pleasure, with somatomatic symptoms, suicidal ideas and behavior. The WHO believes that depression is a life-long disease perplexing mankind, about 100 million people worldwide suffer depression and the suicide rate is 15%; depression has become a Chinese disease. The second major diseases of the disease are the main diseases that cause suicide death and disability. It seriously threatens the safety of people's life and property and reduces the quality of life. In psychology, emotional adjustment, coping style and mental resilience play an important role in the pathogenesis and prognosis of depression. The study of adjustment, mental resilience and coping style has important theoretical and practical significance. Objective (1) to explore the differences between depression patients and healthy people in emotional adjustment, coping style and mental resilience; (2) to explore the relationship between depression severity and emotional regulation, coping style and mental resilience. Methods selected from July 2013 to 2014. In August, 90 depressive patients were treated in Luoyang rhonkang hospital and fifth people's Hospital in Luoyang City, Luoyang City, Fifth People's Hospital and hospitalized depressive patients. All patients were in accordance with the diagnostic criteria of depression in the international classification of disease tenth (ICD-10), including 37 male, 53 female and 19-65 years of age, and selected age and sex and depression at the same time. 90 healthy volunteers were matched as healthy volunteers, 41 men, 49 women and 18-59 years of age. The study adopted general situation questionnaire, Hamilton Depression Scale (HAMD), simple coping style questionnaire (SCSQ), Emotion Regulation Questionnaire (ERS) and Mental Resilience Scale (CD-RISC) as the research tool to analyze depression patients and healthy people The relationship between emotion regulation, coping style and mental resilience and the relationship between depression severity and emotion regulation, coping style and mental resilience. All data were processed with SPSS software. Results (1) the comparison between the two groups of emotional adjustment, coping style and psychological elasticity was compared with the positive emotional ratio in the depression group and the health group. The difference was significant: t=-3.964 (P=0.000) and interest factor (t=-3.084, P=0.002). There was no significant difference between the two groups of negative emotion (t=0.442, P=0.659), and the disgust factor (t=-1.029, P=0.305). The difference between the sadness factor (t=4.082, P=0.000) and the fear factor (t=2.870, P=0.005) was significant. The two groups were 4 positive and negative emotions. The difference between two groups in positive emotion (t=-7.095, P=0.000), inhibition (t=2.839, P=0.005) and catharsis (t=-5.310, P=0.000) is significant, and there is no statistical difference in the way of neglecting regulation (t=0.560, P=0.576). In negative emotional regulation, it is ignored. (t=-3.239, P=0.001), the difference between (t=5.194, P=0.000) and inhibition (t=2.478, P=0.014) was significant, and the difference was not statistically significant (t=1.947, P=0.053). In the coping style, there was a significant difference between the two groups in the positive response (t=-9.054, P=0.000) and negative coping (t=3.568, P). The two groups were compared in the two groups of subjects' psychological elasticity. There were significant differences in toughness, optimism, strength and mental resilience (P0.001). (2) the correlation between depression severity and emotion regulation, coping style and mental resilience was negatively correlated with happiness, interest, disgust, sadness, anger, fear and other factors, except with interest factors (r=-0.280, P=0.007) and anger. Factors (r=-0.209, P=0.048) have significant correlation, other correlation is not significant, and positive and negative emotion 4 regulation related analysis, depression severity is significantly negatively correlated with positive emotional attention regulation (r=-0.236, P=0.025), and negative emotional neglect (r=-0.297, P= 0.005) has a significant negative correlation, other correlation is not significant. Depression severity. There was a significant negative correlation with positive response (r=-0.577, P=0.000), positive correlation with negative coping, but the correlation was not significant (r=0.082, P=0.440). The severity of depression was negatively correlated with the strength factor (r=-0.505, P=0.000), the optimism factor (r=-0.455, P=0.000), the tenacity factor (r=-0.544, P=0.000) and the elastic Total (r=-0.561, P=0.000). (3) inhibition (3) Regression analysis of regression analysis of related factors of severity of depression showed that positive response (beta =-0.537, P=0.000) and optimism (beta =-0.269, P=0.002) had a negative predictive effect on depression severity, negative coping (beta =0.194, P=0.023) had a positive predictive effect. (1) depression patients tended to adopt negative effects in coping with life events. Coping style, the psychological resilience of stress and adversity is poor, emotional regulation is more restrained to positive emotion, less catharsis, more attention to negative emotion, less neglect, more easy to immerse in bad mood and aggravate depressive symptoms. (2) the higher the mental resilience and the more positive coping styles of the patients' depression degree. The lighter the negative emotion was, the more neglected the patients were.
【學(xué)位授予單位】：新鄉(xiāng)醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R749.4

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 王立娜;抑郁癥的心理治療[J];神經(jīng)疾病與精神衛(wèi)生;2005年04期

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本文編號(hào)：1899596