| 缪楹,徐晓津,周勇杰,周欣,曹威.社会支持对重性抑郁障碍患者自杀意念的影响[J].四川精神卫生杂志,2020,33(2):142-145.Miao Ying,Xu Xiaojin,Zhou Yongjie,Zhou Xin,Cao Wei,Effect of social support on suicidal ideation in patients with major depressive disorder[J].SICHUAN MENTAL HEALTH,2020,33(2):142-145 |
| 社会支持对重性抑郁障碍患者自杀意念的影响 |
| Effect of social support on suicidal ideation in patients with major depressive disorder |
| 投稿时间：2020-01-10 |
| DOI：10.11886/scjsws20200110001 |
| 中文关键词: 重性抑郁障碍 自杀意念 社会支持 |
| 英文关键词:Major depressive disorder Suicide ideation Social support |
| 基金项目:湖北省卫生计生科研项目（项目名称：rTMS上调BDNF水平改善抑郁障碍患者认知功能，项目编号：WJ2019F013） |
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| 中文摘要: |
| 目的 探讨社会支持对重性抑郁障碍（MDD）患者自杀意念的影响，为临床降低其自杀意念、减少自杀行为的发生提供参考。方法 采用二阶段调查法，以在武汉市精神卫生中心门诊就诊的、符合《精神障碍诊断与统计手册（第4版）》（DSM-IV）诊断标准的1 135例MDD患者为研究对象。采用患者健康问卷抑郁量表（PHQ-9）、社会支持评定量表（SSRS）进行调查，采用二元Logistic回归分析探讨MDD患者自杀意念的影响因素。结果 1 135例MDD患者中，有688例（60.62%）存在自杀意念，有自杀意念者PHQ-9评分高于无自杀意念者,差异有统计学意义[（14.18±5.02）分vs.（11.07±4.61）分，t=10.497，P<0.01]。有自杀意念者的主观支持、对支持的利用度及SSRS总评分均低于无自杀意念者，差异均有统计学意义（P均<0.01）。以自杀意念为因变量，以客观支持、主观支持、对支持利用度及PHQ-9评分为自变量的二元Logistic回归模型为logit(P)=-0.286+0.026X1-0.035X2-0.063X3+0.128X4，其中主观支持和抑郁均对自杀意念有预测作用（B=-0.035、0.128，P<0.05或0.01）。结论 存在抑郁症状及缺乏社会支持（尤其是主观支持）可能是MDD患者出现自杀意念的危险因素。 |
| 英文摘要: |
| Objective To investigate the effect of social support on suicidal ideation in patients with major depression disorder (MDD)，and to provide references for reducing suicidal ideation and suicidal behavior of MDD patients.Methods A total of 1 135 MDD outpatients in Wuhan Mental Health Center who met the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) were included by two-stage sampling method. All the selected patients were assessed by Patient Health Questionnaire (PHQ-9) and Social Support Rating Scale (SSRS), and the influencing factors of suicidal ideation in MDD patients were explored by binary Logistic regression analysis.Results Among 1 135 MDD patients, 688 (60.62%) had suicidal ideation. PHQ-9 score of patients with suicidal ideation was significantly higher than those without suicidal ideation [(14.18±5.02) vs. (11.07±4.61), t=10.497, P<0.01]. The scores of subjective support, the degree of support utilization and the total score of SSRS in those with suicidal ideation were all lower than those without suicidal ideation, with significant difference (P<0.01). Taking suicide ideation as dependent variable, and objective support, subjective support, utilization of support and PHQ-9 score as independent variables, binary Logistic regression equations was as follow: logit (P)=-0.286+0.026X1-0.035X2-0.063X3+0.128X4, indicating that both subjective support and depression had predictive values for suicidal ideation (B=-0.035, 0.128, P<0.05 or 0.01).Conclusion Depression and lack of social support, especially subjective support, may be risk factors for suicidal ideation in MDD patients. |
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