中国心理卫生杂志2012，Vol.26Issue(1)：15-18,4.DOI:10.3969/j.issn.1000-6729.2012.01.004
老年抑郁症患者的非理性信念和应对方式
Irrational beliefs and coping styles in elderly patients with depression
摘要
Abstract
Objective: To investigate the characteristics of irrational beliefs and coping styles in elderly patients with depression. Methods: Totally 63 elderly patients meeting the International Classification of Diseases, Tenth Revision (ICD-10) diagnostic criteria for depression were included as the case group, and 30 age-and gender-matched normal elderly people as the controls. The case group and control group were assessed with the Geriatric Depression Scale (GDS), Irrational Beliefs Scale (IBS), and Simple Coping Style Questionnaire (SCSQ) before treatment, and after 6 weeks of treatment, the case group was re-evaluated. Results: Before treatment, the scores of IBS subscales and SCSQ "negative coping" were all higher in case group than in control group; after treatment, the scores all decreased but still higher than that in the controls (Ps <0. 001). Before treatment, the SCSQ "active coping" scores were lower in case group than in control group; after treatment, the scores increased but still lower than that in the controls (Ps < 0. 001). Compared to control group, the patients with GDS scores < 10 after treatment scored higher in the IBS subscales (Ps <0. 05), lower in SCSQ "active coping" (P <0. 001), and had no difference in SCSQ "negative coping" scores (P >0. 05). Before treatment, the GDS score of case group was positively correlated with scores of IBS "low frustration tolerance" and "generalization comment" (r =0.59, r = 0. 17; P <0. 001), and negatively correlated with the scores of SCSQ "active coping" (r = -0. 39, P <0. 05). Conclusion: It suggests that elderly patients with depression have irrational beliefs and negative coping style, and they need psychological intervention to promote rehabilitation and reduce the recurrence of depression.关键词
老年抑郁症/非理性信念/应对方式/横断面研究Key words
depression in the elderly/ irrational beliefs/ coping styles/ cross-sectional studies分类
医药卫生引用本文复制引用
宗宝玉,熊红芳,李占江..老年抑郁症患者的非理性信念和应对方式[J].中国心理卫生杂志,2012,26(1):15-18,4.基金项目
首都医学发展基金(2003-2040) （2003-2040）
