摘要
目的探讨维持性血透(maintenance hemodialysis,MHD)患者抑郁状况与人格特征相关性。方法观察对象为2020年3月~2023年3月宣城市中心医院85例MHD患者,采用抑郁自评量表(self-rating depression scale,SDS)进行抑郁情绪评估,将SDS评分≥53分设为抑郁组,<53分设为非抑郁组。比较两组患者的一般资料以及大五人格量表简化版(neuroticism extraversion openness five-factor inventory,NEO-FFI),分析抑郁组患者NEO-FFI各项评分与SDS评分的相关性。结果85例患者中,29例检出抑郁情绪,其中轻度14例,中度12例,重度3例;抑郁组与非抑郁组的年龄、透析龄、受教育年限、合并并发症差异具有统计学意义(P<0.05);两组性别、工作情况、婚姻差异无统计学意义(P>0.05);抑郁组外向、尽责、宜人、开放人格评分显著低于非抑郁组,神经质人格评分显著高于非抑郁组(P<0.05);抑郁组外向、尽责、宜人、开放人格评分与SDS评分呈负相关,神经质人格评分与SDS评分呈正相关(P<0.05)。结论维持性血透患者抑郁情绪检出率较高,且抑郁情绪与人格特征具有密切联系。
Objective To investigate the correlation between depression and personality traits in maintenance hemodialysis(MHD)patients.Methods Eighty-five MHD patients from March 2020 to March 2023 in Xuancheng City Central Hospital were the observation subjects of this study.The self-rating depression scale(SDS)was used to assess the depressed mood,and the SDS score≥53 was set as the depressed group and<53 as the non-depressed group.The general information of the patients in the two groups and the simplified version of the Big Five personality inventory(neuroticism extraversion openness five-factor inventory,NEO-FFI)were compared.The correlation between NEO-FFI scores and SDS scores of patients in the depressed group was analyzed.Results Among the 85 patients,29 cases were detected with depressed mood,including 14 cases of mild,12 cases of moderate,and 3 cases of severe.The differences in age,age on dialysis,years of education,and comorbid complications between the depressed and non-depressed groups were statistically significant(P<0.05).The difference in gender,work situation,and marriage between the two groups was not statistically significant(P>0.05).Extraversion,dutifulness,pleasantness,and openness personality scores in the depressed group were significantly lower than those in the non-depressed group,and neurotic personality scores were significantly higher than those in the non-depressed group(P<0.05).Extraversion,dutifulness,pleasantness,and openness personality scores were negatively correlated with SDS scores in the depressed group,and neurotic personality scores were positively correlated with SDS scores(P<0.05).Conclusion Maintenance hemodialysis patients have a high detection rate of depressive mood and a strong association between depressive mood and personality traits.
作者
李婷婷
姚佩
吴莉
施叶萍
LI Tingting;YAO Pei;WU Li(Xuancheng Central Hospital Blood Purification,Xuancheng 242000,China)
出处
《国际精神病学杂志》
2024年第2期599-602,共4页
Journal Of International Psychiatry
关键词
维持性血透
抑郁
人格特征
Maintenance Hemodialysis
Depression
Personality Traits
