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抑郁症患者应对方式与童年受虐经历的关系

黄庆玲 雍那 胡华 杨祥英 杜莲 蒙华庆

重庆医学Issue(5):613-615,3.
重庆医学Issue(5):613-615,3.DOI:10.3969/j.issn.1671-8348.2015.05.012

抑郁症患者应对方式与童年受虐经历的关系

Relationship between coping styles of patients with depression and childhood abuse

黄庆玲 1雍那 2胡华 1杨祥英 1杜莲 1蒙华庆1

作者信息

  • 1. 重庆医科大学附属第一医院精神科 400016
  • 2. 川北医学院附属医院精神心理科,四川南充637000
  • 折叠

摘要

Abstract

Objective To explore the relationship between coping styles and childhood abuse in adult patients with depression . Methods A case‐control study was conducted between 80 adult patients with depression and 80 health controls .In general ques‐tionnaire was designed to collect the demo‐graphic information ,Childhood Trauma Questionnaire‐28 Item Short Form (CTQ‐SF) was used to assess childhood trauma and Trait Coping Styles Questionnaire (TCSQ) was assigned to evaluate coping styles .T test , Mann‐Whitney U test ,Spearman Bivariate correlations and Multiple linear regression were employed to explore the characteristics of the major depressive patients′coping styles and the association between childhood abuse .Results (1) The patients with depres‐sion had both statistically significantly higher scores on negative coping style (t=9 .13 ,P<0 .01) and lower scores on positive cop‐ing style (t= -12 .01 ,P<0 .01)than the controls with childhood abuse .The patients with childhood abuse had both statistically significantly higher scores on negative coping style(Z= -6 .134 ,P<0 .01) and lower scores on positive coping style(Z= -5 .452 , P<0 .01) than the controls with childhood abuse .Inside the group of patients with depression ,the patients who had childhood a‐buse gained significantly higher scores in negative coping style than the others who had no early trauma (Z= -2 .159 ,P<0 .05) , however ,no conspicuous differences were found on the positive coping style scores .(2)The childhood abuse was both significantly positive correlated with the passive coping and negative related to the active coping (r=0 .562 ,P<0 .01;r= -0 .333 ,P<0 .05)a‐mong the patients of depression .(3)The total degree of abuse and physical abuse had significant prediction function of 34 .4% (P<0 .01)on the patients′ negative coping .Conclusion The coping styles of patients with depression were prone to be influenced by childhood abuse remarkably ,more severe abuse ,especially with the physical abuse ,more negative the coping styles were .

关键词

抑郁症/应对方式/童年受虐经历

Key words

depressive disorder/coping styles/childhood abuse experience

分类

医药卫生

引用本文复制引用

黄庆玲,雍那,胡华,杨祥英,杜莲,蒙华庆..抑郁症患者应对方式与童年受虐经历的关系[J].重庆医学,2015,(5):613-615,3.

基金项目

重庆市卫生局医学科研计划项目(2011-2-066)。 ()

重庆医学

OA北大核心CSTPCD

1671-8348

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