中国全科医学2016，Vol.19Issue(23)：2762-2766,5.DOI:10.3969/J.issn.1007-9572.2016.23.004
冠心病伴发抑郁情绪者注意偏向的研究
Attentional Bias in Coronary Heart Disease Combined With Depressive Mood
摘要
Abstract
Objective To explore the characteristics of attentional bias in coronary heart disease(CHD)combined with depressive mood patients. Methods 40 CHD patients who were admitted to the Affiliated Hospital of Weifang Medical University from September 2012 to December 2014,were selected as study subJects. According to the score of Zung self - rating depression scale,cases were divided into the simple CHD group and CHD with depression mood group,and 20 cases in each group. All cases underwent the attention return inhibition experiments,the reaction time was recorded,and the return inhibition effect was analyzed. Results The repeated measures analysis of variance(RANOVA)on reaction time showed the main effect among groups was significant(F = 94. 44,P < 0. 01),the reaction time in the CHD with depression mood group was longer than that in the simple CHD group;the main effect of SOA was significant(F = 57. 98,P < 0. 01);and group × face type × clue type × SOA interaction was significant(F = 10. 09,P < 0. 01). When SOA reached 14 ms,the main effect among groups was significant(F = 22. 68,P < 0. 01);the main effect of clue type was significant(F = 13. 90,P < 0. 01),the reaction time of invalid clue was shorter than that of effective clue;there was a significant group × face type × clue type interaction( F= 10. 84,P < 0. 01),simple effect analysis showed that the reaction time invalid cue to sad faces was significant shorter than that to neutral faces in the CHD with depressive mood group(F = 15. 19,P < 0. 01). When SOA reached 750 ms,the main effect among groups was significant( F = 37. 89,P < 0. 01);the main effect of clue type was significant( F = 5. 01,P <0. 05),the reaction time of invalid clue was shorter than that of effective clue;there was a significant group × face type × clue type interaction( F = 7. 92,P < 0. 01),simple effect analysis showed that the reaction time invalid cue to sad faces was significant shorter than that to happy faces and neutral faces in the CHD with depressive mood group(F = 6. 92,P < 0. 05). The results of RANOVA on the effect of inhibition of return( reaction time of invalid clue - reaction time of effective clue) showed that the effect of inhibition of return for sad faces in the CHD with depressive mood group was significant smaller than that in the simple CHD group when the SOA reached 14 ms(F = 5. 61,P < 0. 05),and the clue effect of sad faces in the CHD with depressive mood group was significant greater than that in the simple CHD group when the SOA reached 250 ms(F = 6. 49,P <0. 05);besides,the effect of inhibition of return for three types of face images exists both in the CHD with depressive mood group and the simple group. Conclusion Attentional bias exists in CHD combined with depressive mood patients,which appears as attentional bias to emotionally negative stimuli,and the relief of attentional bias is difficult.关键词
冠心病/抑郁/注意偏向/返回抑制Key words
Coronary disease/Depression/Attentional bias/Inhibition of return分类
医药卫生引用本文复制引用
宋玉萍,李慧慧,陈晓丽,姜能志,隋萍,李爱英,卢国华,李敬田..冠心病伴发抑郁情绪者注意偏向的研究[J].中国全科医学,2016,19(23):2762-2766,5.基金项目
山东省自然科学基金资助项目（ZR2012CL11，ZR2014CL012）；“健康山东”重大社会风险预测与治理协同创新中心资助项目 （）
