双相障碍与抑郁症的A型行为比较  

A Comparison of Type A Behavior in Bipolar Disorder and Depressive

作　　者：赵素华[1] 童梓顺[1] 孔洁华[1] 李欢欢[2] 

机构地区：[1]广州市脑科医院,广东广州510370 [2]中山大学

出　　处：《中国民康医学》2006年第17期721-722,共2页Medical Journal of Chinese People’s Health

摘　　要：目的:探索双相障碍与抑郁症的A型行为异同及关系。方法:应用A型行为问卷(TABQ)对50例双相障碍患者和50例抑郁症患者及93例正常对照组的行为类型进行评定,以及临床资料比较分析。结果:(1)双相障碍患者中A型行为占60%,显著高于抑郁症组(20%)和正常对照组(35.4%);抑郁症患者B型行为占52%,显著高于双相障碍组(6%)和正常对照组(32.2%)。(2)A型行为患者起病较急,心理社会因素明显,多表现为认知障碍;B型行为性格患者以焦虑/躯体化及迟滞表现多见。(3)A型行为患者疗效优于B型行为患者。结论:双相障碍患者具有普遍A型行为倾向,抑郁症患者以B型行为居多,A型行为的评定可能有助于两者的鉴别及治疗。Objective：To reach the difference and relationship of type A behavior between bipolar disorder and depressive. Methods：50 patients with bipolar disorder, 50 patients with depressive and 93 normal adults as control were investigated by type A behavior questionnaire （ TABQ ）. And the data of patients with type A or B behavior were compared. Results： （1） The rate of type A behavior in patients with bipolar disorder was significantly higher than in control. And the rate of type B behavior with depressive was higher. （2） There were commonly acute upset, significant psychosocial factors, cognitive disorder in patients with type A behavior, while common anxiety somatization and retardation in patients with type B behavior, （3） The efficacy of patients with type A behavior was superior to patients with type B behavior. Conclusions： Patients with bipolar disorder had certain characters of type A behavior, and patients with Depression Episode had not those characters. So investigating type A behavior maybe useful to distinguish bipolar disorder and depressive.

关 键 词：双相障碍 抑郁症 A型行为 

分 类 号：R749.41[医药卫生—神经病学与精神病学]