伴勃起功能障碍男性抑郁症患者的自尊及应对方式研究  

Self-esteem and coping style in male depressive patients with erectile dysfunction

作　　者：吴福喜[1] 黎丽燕[1] 黄兴兵[1] 温紫娴[1] 

机构地区：[1]广州市脑科医院,广州510370

出　　处：《中国行为医学科学》2008年第2期126-128,共3页Chinese Journal of Behavioral Medical Science

基　　金：广州市医药卫生科技项目（2006-YB-116）

摘　　要：目的探讨男性抑郁症勃起功能障碍（ED）患者的自尊及应对方式。方法对60例26—50岁的男性抑郁症患者采用国际勃起功能指数问卷（IIEF-5）、汉米尔顿抑郁量表（HAMD）、自尊量表（SES）、特质应对方式问卷（TCSQ）等进行评估。结果男性抑郁症ED组HAMD评分[（18．79±2．40）分]显著高于非ED组[（17．00±1．96）分]，P〈0．05，二者SES、TCSQ积极应对及消极应对分均差异无显著性；男性抑郁症ED患者中复发抑郁症组TCSQ积极应对分[（27．07±4．94）分]显著低于首发抑郁症组[（31．59±8．10）分]，P〈0．05，IIEF-5、HAMD、SES及TCSQ消极应对分首发与复发抑郁症组比较均差异无显著性；男性抑郁症患者IIEF-5及TCSQ积极应对分与HAMD评分显著负相关，TCSQ消极应对分与HAMD评分显著正相关；多元回归分析表明影响男性抑郁症患者勃起功能的因素为HAMD评分、TCSQ消极应对分以及体质量指数。结论男性抑郁症患者自尊较低，应对消极，患有ED对男性抑郁症患者自尊及应对方式均无明显影响。Objective To investigate self-esteem and coping style in Chinese male adult depressive patients with erectile dysfunction（ED）. Methods 60 patients with major depression aged from 26 to 50 years were evaluated with International Index of Erectile Function 5 （ IIEF-5 ）, Hamilton Depression Rating Scale （ HAMD）, The Self-Esteem Scale （SES） and Trait Coping Style Questionnaire（TCSQ）. Results The score of HAM D in the group of male depressive patients with ED （ 18.79 ± 2.40） was higher than that of the group of patients without ED （ 17.00 ± 1.96） （ P 〈 0.05 ）, but the scores of SES and TCSQ had no significant difference between two groups. In the group of recurrent depressive patients with ED, the score of positive coping of TCSQ （ 27.07 ± 4.94） was lower than that of the group of first-episode depressive patients with ED（ 17.00± 1.96 ） （ P 〈 0.05 ）, but the scores of IIEF-5, HAMD, SES and negative coping of TCSQ had no significant difference between two groups. There were negative correlations between the scores of IIEF-5 and HAMD, also between the scores of positive coping of TCSQ and HAMD, and a positive correlation between the scores of negative coping of TCSQ and HAMD. The multiple regression analysis showed that the scores of HAMD, negative coping of TCSQ and Quetelet BMI were associated with the scores of IIEF-5 in depressive patients with ED. Conclusion The male depressive patients have low selfesteem and maladaptive coping style, and ED doesn＇ t affect significantly their self-esteem and coping style.

关 键 词：抑郁症 勃起功能障碍 自尊 应对方式 

分 类 号：R698[医药卫生—泌尿科学] R749.4[医药卫生—外科学]