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抑郁症患者的家庭分型及其对自杀意念的影响研究

秦碧勇 戴立磊 邓晓玲 汪健 郑艳

中国全科医学Issue(24):2889-2893,5.
中国全科医学Issue(24):2889-2893,5.DOI:10.3969/j.issn.1007-9572.2015.24.004

抑郁症患者的家庭分型及其对自杀意念的影响研究

Research of the Family Typing of Depressive Patients and Its Effect on Suicide Ideation

秦碧勇 1戴立磊 2邓晓玲 1汪健 1郑艳3

作者信息

  • 1. 442000 湖北省十堰市,湖北医药学院附属人民医院神经内科
  • 2. 荆门市康复医院
  • 3. 442000 湖北省十堰市,湖北医药学院附属人民医院护理部
  • 折叠

摘要

Abstract

Objective To investigate the family intimacy , family adaptability and family typing of patients with depression and analyze their effect on suicide ideation .Methods Using random sampling method , enrolled 108 patients with depression who were admitted into Renmin Hospital , Hubei University of Medicine from October 2013 to April 2014.A questionnaire of general information , HAMD, SIOSS and FACESⅡ-CV were used on the subjects.According to SIOSS results, the subjects were divided into two groups: suicide ideation group ( SIOSS≥12 ) ( n =65 ) and non suicide ideation group ( SIOSS<12 ) ( n =43 ) .Comparison was made between the two groups in general information , family intimacy , family adaptability and family types .Multiple Logistic regression analysis was conducted to find the influencing factors for the suicide ideation of the subjects.Results The two group were not significantly different ( P >0.05) in age, gender, ethnic group, marital status, living condition and working hours; the two groups were significantly different (P<0.05) in education level, occupation and economic condition .The suicidal ideation group was lower than non suicidal ideation group in the score of family intimacy 〔 (58.1 ±13.3) vs.(69.6 ±9.7), P<0.05〕 and family adaptability 〔 (39.3 ±9.1) vs.(46.9 ±7.3), P<0.05〕 .The two group were significantly different in family typing (χ2 =10.204, P=0.006) .The suicidal ideation of the subjects was positively correlated with education level and was negatively correlated with economic condition , family intimacy, family adaptability ( r values were -0.268, -0.404 and -0.396 respectively, P <0.001 ) .The multivariate Logistic&nbsp;regression analysis showed that education level , economic condition , family intimacy had regression relationship with the suicidal ideation of the subjects ( P<0.05 ) .Conclusion Patients with suicidal ideation usually have poor family intimacy and family adaptability , and their family type is mostly extreme type .Stronger suicidal ideation of patients with depression is associated with higher education level , poorer economic condition and worse family intimacy .

关键词

抑郁症/自杀意念/家庭特征/影响因素分析

Key words

Depressive disorder/Suicidal ideation/Family characteristics/Root cause analysis

分类

医药卫生

引用本文复制引用

秦碧勇,戴立磊,邓晓玲,汪健,郑艳..抑郁症患者的家庭分型及其对自杀意念的影响研究[J].中国全科医学,2015,(24):2889-2893,5.

中国全科医学

OA北大核心CSCDCSTPCD

1007-9572

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