精神分裂症患者积极情绪对抑郁症状的间接作用  

Indirect effects of positive emotions on depressive symptoms in patients with schizophrenia

作　　者：刘林林[1] 江源[2] 王川[1] 杨业兵[3] 陈清刚[1] 龙鲸[1] 

机构地区：[1]天津市安定医院,300000 [2]中国航天员科研训练中心 [3]海军总医院

出　　处：《四川精神卫生》2014年第6期538-540,共3页Sichuan Mental Health

摘　　要：目的探讨精神分裂症患者积极情绪和抑郁症状的关系以及应对方式和领悟社会支持的中介作用。方法采用贝克抑郁自评量表(BDI)、正性负性情绪量表(PANAS)、特质应对方式问卷(TCSQ)和领悟社会支持量表(PSSS)对110例符合《国际疾病分类(第10版)》(ICD-10)诊断标准的精神分裂症患者进行评估,使用中介检验程序检验积极情绪对抑郁症状的作用。结果精神分裂症患者的积极情绪、积极应对方式、领悟社会支持三者两两之间呈中等正相关(r=0.41~0.64,P<0.01),并且每项都与抑郁呈中等负相关(r=-0.37^-0.50,P<0.01),且均与消极应对方式没有相关关系。消极应对方式仅与抑郁呈低等正相关(r=-0.20,P<0.05)。中介效应检验显示积极应对方式和领悟社会支持对抑郁的回归效应检验显著(β=-0.29,-0.24,P<0.05),而积极情绪的回归效应检验不显著(β=-0.13,P>0.05)。结论精神分裂症患者中,积极应对方式和领悟社会支持在积极情绪与抑郁之间起完全中介作用,积极情绪可能通过积极应对方式和领悟社会支持对抑郁产生间接作用。Objective To explore the relationship between positive emotions and depression in patients with schizophrenia,and validate that coping style and social support have mediated effects on them. Methods 110 inpatients with schizophrenia which were di-agnosed by ICD-10 were assessed by BDI,PANAS,TCSQ and PSSS,and validate effects of positive emotions on depressive symptoms by the mediation effect procedures. Results Positive emotions,positive coping styles,perceived social support between two of the three inpatients with schizophrenia existed medium positive correlation（r=0. 41～0. 64,P﹤0. 01）,and each item was negatively cor-related with depression（r= -0. 37～-0. 50,P﹤0. 01）,and had no relationship with negative coping styles. Negative coping styles was only correlated with depression（r= -0. 20,P﹤0. 05）. Using the model of indirect effect（ repeating line regression model）,posi-tive coping styles and social support were identified as direct predictors of depression in schizophrenia（β = -0. 29,-0. 24,P ﹤0. 05）,and positive mood was not a direct predictor of depression（β= -0. 13,P﹥0. 05）. Conclusion This study shows that positive coping styles and social support could be completely mediators between positive emotions and depression in schizophrenia,indicating that positive emotions may have a significant indirect effect on depression by positive coping styles and social support.

关 键 词：精神分裂症 积极情绪 应对方式 社会支持 抑郁 中介变量 

分 类 号：R749.3[医药卫生—神经病学与精神病学]