摘要
目的:探讨双相情感障碍与抑郁症患者功能失调性态度的特征及两者之间的相互关系。方法:使用功能失调性状况评定量表(Dysfunctional Attitudes Scales,DAS)对缓解期的66例双相情感障碍及56例抑郁症患者进行评定,并与60名正常人进行对照。结果:(1)抑郁症组的I)AS总分以及脆弱性、吸引/排斥、完美化、依赖性、自主性态度和认知哲学因子分(163.8±32.9、18.4±4.8、19.3±6.1、20.2±5.8、21.0±5.5、23.8±6.1、19.O±5.2)与双相情感障碍组的DAS总分及脆弱性、完美化、依赖性因子分(142.5±27.5、16.8±4.6、17.3±5.7、18.0±5.O)均高于正常人对照组(总分:129.4±18.4,P<0.05或P<O.01)。(2)抑郁症组DAS总分,以及脆弱性、吸引/排斥、完美化、依赖性、自主性态度和认知哲学等因子分值高于双相情感障碍组(尸<0.05或尸<O.01)。结论:(1)部分抑郁症及双相情感障碍患者可能存在明显的功能失调性认知态度;(2)抑郁症患者的功能失调性态度有可能重于双相情感障碍患者。
Objective： To explore the trait and relationship of dysfunctional attitude in Depression and Bipolar disorder. Method： To evaluate 66 bipolar disorder and 56 depression individuals in remitted period with Dysfunctional Attitudes Scales （ DAS ）, and then eompare the results with that of 60 normal controls. Results： DAS total score of the depression group, and scores of sub-faetors, e.g. vulnerability, absorption/exclusive, perfection, dependence, independent attitude and cognitive philosophy （ 163. 8 ± 32. 9, 18. 4 ± 4. 8, 19. 3 ± 6. 1, 20. 2 ± 5. 8, 21.0 ± 5.5, 23. 8 ± 6. 1, 19. 0 ± 5. 2 ）, DAS total score of the bipolar disorder group and scores of sub-faetors, e.g. vulnerability, perfection and dependence （ 142. 5 ±27.5, 16. 8 ±4. 6, 17.3 ±5.7, 18.0 ±5.0）, were higher than that of normal eontrol （ 129.4 ±18.4, P 〈0.05 or P 〈0.01 ） . The depression group still had higher DAS total score and scores of sub-factors, e.g. vulnerability, absorption/exclusive, perfection, dependence, independent attitude and cognitive philosophy than the bipolar disorder group （ P 〈 0.05 or P 〈 0. 01 ） . Conclusion： Some patients of depression and bipolar disorder may have cognitive dysfunctional attitude; depressive patients are more obvious in dysfunctional attitude than bipolar patients.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2007年第11期759-761,共3页
Chinese Mental Health Journal
关键词
双相情感障碍
抑郁症
认知心理学
病例对照研究
bipolar disorder
depression
cognitive dysfunctional attitude
case control study
