抑郁障碍和人格障碍共病与父母养育方式的关系  

The comorbidity of depressive disorders with personality disorders and the effect of parental rearing practices

作　　者：李玉娥[1] 周玉萍[1] 王玉革[1] 

机构地区：[1]济宁市精神病防治院,济宁272051

出　　处：《中国行为医学科学》2005年第7期629-631,共3页Chinese Journal of Behavioral Medical Science

基　　金：山东省济宁市科技局计划课题(2003-033)

摘　　要：目的探讨抑郁障碍与轴Ⅱ人格障碍的共病情况及与父母养育方式的关系。方法采用DSM-IV定式临床会谈量表(SCID-Ⅱ)和父母养育方式评价量表(EMBU)对102例抑郁障碍患者进行评估,并与102例正常人群对照。结果抑郁障碍与回避型、强迫型以及消极型人格障碍共病率分别为32.3%、29.4%、22.5%。抑郁障碍患者父母情感温暖理解、惩罚严厉、拒绝否认因子分别为45.43±8.34、46.92±10.21、17.98±5.64、13.93±4.81、10.53±3.72、13.98±4.18,与对照组相比较,差异有显著性(均P<0.05)。结论抑郁障碍与回避型、强迫型以及消极型人格障碍关系密切,父母不良的养育方式与抑郁障碍的形成有关。ObjectiveTo investigate comorbidity of depression disorders with the personality disorders and the influence of the parental rearing practices.Methods102 depressive patients and 102 unaffected people were recruited into the investigation and were diagnosed by structured clinical interview for DSM-Ⅳand Perceived Parental Rearing Practices Questionnaire (EMBU).ResultsDepressive disorder group had higher scores in avoidant personality disorder, obsessive-compulsive personality disorder and passive personality disorder(32.3%,29.4%,22.5%).Compared with the control group, depressive disorder group had lower scores in parental emotional warmth,while had higher scores in parental punishment and severity,rejection and denial (45.43±8.34,46.92±10.21,17.98±5.64,13.93±4.81,10.53±3.72,13.98±4.18, P <0.05). ConclusionDepressive disorder has close relationship with avoidant personality disorder, obsessive-compulsive personality disorder and passive personality disorder,and negative parental rearing practices has influence on the development of depression disorders.

关 键 词：抑郁障碍 人格障碍 父母养育方式评价量表 DSM-Ⅳ 共病情况 正常人群 父母情感 消极型 强迫型 共病率 因子分 对照组 显著性 患者 

分 类 号：R749.99[医药卫生—神经病学与精神病学]