李武,胡春凤,李龙飞,张永强,李猛.缓解期单相与双相抑郁障碍患者功能失调性态度及认知应对策略比较[J].四川精神卫生杂志,2019,32(6):510-513.
缓解期单相与双相抑郁障碍患者功能失调性态度及认知应对策略比较
Comparative study on the dysfunctional attitudes and cognitive coping strategies between bipolar and unipolar depression patients in remission
投稿时间:2019-02-28  
DOI:10.11886/scjsws20190228001
中文关键词:  单相抑郁  双相抑郁  功能失调性态度  认知应对策略
英文关键词:Unipolar depression  Bipolar depression  Dysfunctional attitudes  Cognitive coping strategies
基金项目:山东省医药卫生科技发展计划项目 2015ws0421 ; 济宁市医药卫生计划项目 2015-14 山东省医药卫生科技发展计划项目(2015ws0421);济宁市医药卫生计划项目(2015-14)
作者单位
李武 济宁市精神病防治院 
胡春凤 济宁市精神病防治院 
李龙飞 济宁市精神病防治院 
张永强 济宁市精神病防治院 
李猛 济宁市精神病防治院 
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中文摘要:
      目的 探讨缓解期单相与双相抑郁障碍患者功能失调性态度和认知应对策略的差异,为其心理干预提供参考。 方法 选取符合《国际疾病分类(第10版)》(ICD-10)情感障碍诊断标准的缓解期双相抑郁障碍患者(n=83)和缓解期单相抑郁障碍患者(n=76)作为研究对象。采用认知情绪调节问卷中文版(CERQ-C)、贝克抑郁量表21项版(BDI-21)和功能失调性态度问卷(DAS)对两组患者进行评定。 结果 双相抑郁组DAS总评分及各因子评分均高于单相抑郁组,差异均有统计学意义(P均<0.01)。双相抑郁组CERQ-C积极重新关注、积极重新评价、自我责难、沉思因子评分和不适应性调节策略总评分均高于单相抑郁组,差异均有统计学意义(P均<0.01)。 结论 缓解期双相抑郁患者较单相抑郁患者可能具有更严重的功能失调性态度与认知应对策略问题。
英文摘要:
      Objective To explore the differences of the dysfunctional attitudes and cognitive coping strategies between bipolar and unipolar depression patients in remission, and to provide references for psychological intervention on the patients. Methods A total of 83 patients with bipolar disorder and 76 patients with unipolar depression in remission who met the International Classification of Diseases, tenth edition (ICD-10) diagnostic criteria for affective disorder were continuously involved, and all patients were assessed with the Cognitive Emotion Regulation Questionnaire-Chinese Version (CERQ-C), Beck Depression Inventory-21 item (BDI-21) and Dysfunctional Attitudes Scales (DAS). Results The total score and scores of factors in DAS were higher in the bipolar depression group than those in the unipolar depression group (P<0.01). The positive refocusing, positive reappraisal, self-blame, rumination and maladaptive cognitive strategy scores in the bipolar depression group were higher than those in the unipolar depression group (P<0.01). Conclusion Compared with the unipolar depression patients in remission, the bipolar depression patients in remission may suffer from more severe dysfunctional cognitive attitudes and cognitive coping strategies problems.
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