首发抑郁症患者认知功能失调性分析  

作　　者：林承凤 杨致蓉 赵俊雄 黄惠舜 

机构地区：[1]浙江省金华市第二医院心理科,321000

出　　处：《医学信息（下旬刊）》2011年第1期121-121,共1页Medical information

摘　　要：目的：探讨首发抑郁症患者认知功能失调的特点.方法：采用自动思维问卷、功能失调性状况评定量表44例首发抑郁症患者进行测评.结果：自动思维高分组患者的功能失调性认知（t＝2.164,P＝0.03）分值均高于低分组患者,差异有统计学意义;高分组患者的功能失调性认知各因子中,脆弱性（t＝2.443,P＝0.019;完美化（t＝3.000,P＝0.005）、自主性态度（t＝2.193,P＝0.034）因子分值均高于低分组患者,差异有统计学意义;相关分析表明,自动思维和功能失调性认知呈正相关（r＝P〈0.05）;自动思维与脆弱性、吸引和排斥、完美化和自主性态度呈正相关（P〈 0.01或P〈0.05）.结论：自动思维出现频率越高,病人存在越严重的功能失调性认知,尤其表现在脆弱性、完美化和自主性态度因子上.Objective：Discussing the cognitive dysfunction characteristics of the starting depression patient. Method：Adopt the automatic thought questionnaire and the dysfunctional attitude scale to evaluate the 44 cases of the starting depression patients. Results：Automatic thoughts score high in cognitive dysfunction in patients （t = 2. 164, P = 0. 03） scores were higher than the low group of patients, the difference was statistically signifi- cant; The factors of high score of cognitive dysfunction in patients, frangibility（t= 2. 443, P = 0. 019）, perfection （t= 3. 000, P = 0. 005） ,autono- mous attitude（t= Z. 193, P = 0. 034）, These factors were higher than the low group of patients, the difference was statistically significant; Correlation analysis showed that automatic thoughts and dysfunctional cognition was positively correlated （r-- P 〈0.05） ;Automatic thoughts and frangibility, attraction and repulsion, perfection and autonomous attitude were positively correlated （ P 〈0.01orP 〈0.05）. Conclusion：The more frequency of the automatic thought appeared, the more serious cognitive dysfunction of patient, especially at the frangibility, perfection, and the attitude of the autonomy.

关 键 词：抑郁症 自动思维 功能失调性认知 

分 类 号：R614.4[医药卫生—麻醉学]