四川精神卫生2024，Vol.37Issue(1)：33-38,6.DOI:10.11886/scjsws20230911001
人格特质、心理弹性、应对方式对舍曲林治疗女性青少年首发抑郁障碍效果的影响
Influence of personality traits,resilience and coping style on the efficacy of sertraline treatment in female adolescents with first-episode depressive disorder
摘要
Abstract
Background Depressive disorders are prevalence among adolescents,with a higher incidence in females compared to males,often accompanied by more severe depressive symptoms.Sertraline is commonly prescribed for adolescent depressive disorder,however,its efficacy is only evident in certain patients.Currently,there is limited research on predicting the therapeutic efficacy of sertraline in female adolescents with depressive disorder.Objective To explore the relationship between personality traits,psychological resilience,coping style and the clinical efficacy of sertraline treatment in female adolescents with first-episode depressive disorder,in order to provide references for the treatment of this population.Methods A total of 112 female adolescent patients with first-episode depressive disorder,meeting the diagnostic criteria of the International Classification of Diseases(tenth edition)(ICD-10),and undergoing a 4-week treatment regimen with sertraline,were selected from the Second People's Hospital of Guizhou Province from February 2019 to January 2021.General demographic questionnaire,NEO Five-Factor Inventory(NEO-FFI),Resilience Scale for Chinese Adolescents(RSCA),Coping Style Scale for Middle School Students(CSSMSS),Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale-17 item(HAMD-17)were used for assessment.Logistic regression analysis was used to investigate the factors influencing the clinical efficacy of sertraline in the treatment of female adolescents with first-episode depressive disorder.Results Neuroticism(β=-0.115,95％CI:0.807～0.984)could negatively predicted the therapeutic efficacy of sertraline in female adolescents with first-episode depressive disorder,whereas agreeableness(β=0.129,95％CI:1.025～1.264)and RSCA score(β=0.062,95％CI:1.004～1.128)could positively predict its therapeutic efficacy.Conclusion High neuroticism,low agreeableness and low psychological resilience may be the risk factors for the poor therapeutic effect of sertraline in the treatment of female adolescents with first-episode depressive disorder.关键词
女性/青少年/抑郁障碍/人格特质/心理弹性/应对方式Key words
Female/Adolescents/Depressive disorder/Personality traits/Psychological resilience/Coping style分类
临床医学引用本文复制引用
黄乾坤,舒燕萍,岳雅..人格特质、心理弹性、应对方式对舍曲林治疗女性青少年首发抑郁障碍效果的影响[J].四川精神卫生,2024,37(1):33-38,6.基金项目
2019年度贵阳市科技计划项目(项目名称:贵州省青少年抑郁症精准诊疗科技创新平台,项目编号:筑科合同[2019]9-3-1号)Funded by 2019 Guiyang Science and Technology Program(number,Zhuke Contract[2019]9-3-1) （项目名称:贵州省青少年抑郁症精准诊疗科技创新平台,项目编号:筑科合同[2019]9-3-1号）
