精神分裂症、双相障碍及抑郁症患者功能失调性态度的比较  

Comparison of dysfunctional attitudes among patients with schizophrenia,bipolar disorder and depression

作　　者：李凤娥[1] 崔翠翠[1] 张静[1] 陈楠[1] 吕建宝[1] 卞清涛[1] 

机构地区：[1]北京大学教学医院北京回龙观医院,100096

出　　处：《神经疾病与精神卫生》2015年第3期258-260,共3页Journal of Neuroscience and Mental Health

摘　　要：目的：探讨并比较缓解期精神分裂症、双相障碍及抑郁症患者的功能失调性态度。方法使用功能失调性状况评定量表（DAS）对缓解期60例精神分裂症、52例双相障碍及55例抑郁症患者进行评定，并与年龄、性别及受教育年限相匹配的60名健康人进行比较。结果（1）除认知哲学外，DAS总分及各因子分组间差异均有统计学意义（P ＜0．05）。（2）两两比较显示抑郁组DAS总分以及脆弱性、吸引／排斥、完美化、强制性、寻求赞许、依赖性和自主性态度因子分[（148．7±23．0），（18．8±3．4），（17．6±5．0），（18．7±4．1），（18．1±4．1），（19．1±5．0），（20．1±3．7），（20．9±4．0）分]、双相组的DAS总分及吸引与排斥、完美化、寻求赞许[（138．3±20．5），（15．7±4．8），（17．2±3．4），（19．0±4．0）分]及分裂症组的D A S总分及吸引／排斥因子[（132．8±23．3），（14．5±4．8）分]显著高于对照组[总分：（124．5±17．3）分，P ＜0．05]。（3）抑郁组DAS总分以及脆弱性、吸引／排斥、依赖性等因子分值显著高于双相组，双相组与分裂症组在DAS总分上差异无统计学意义，仅双相组寻求赞许因子分显著高于分裂症组（ P ＜0.05）。结论部分精神分裂症、双相障碍及抑郁症的患者可能存在明显的功能失调性态度；与健康对照相比，抑郁症患者的功能失调性态度最重，双相障碍次之，双相障碍及精神分裂症患者之间的差异不显著。Objective To explore and compare the dysfunctional attitudes among the remitted schizophrenia ,bipolar disorder and depression .Methods To evaluate 60 schizophrenia ,52 bipolar disor‐der and 55 depression individuals in remitted period with Dysfunctional Attitudes Scales（DAS） and then compared the results with 60 age ,gender -matched normal controls .Results （1） In addition to ,DAS total scores and all factors except cognitive philosophy were statistically difference among the four groups （P 〈 0 .05） .（2）DAS total score scores of sub-factors in the depression group ,e .g .vulnerability ,ab‐sorption/exclusive ,perfection ,compulsion ,need for approval ,dependence and autonomy [（148 .7 ± 23.0）,（18.8±3.4）,（17.6±5.0）,（18.7±4.1）,（18.1±4.1）,（19.1±5.0）,（20.1±3.7）,（20.9± 4.0）] ,DAS total score and scores of sub-factors in the bipolar disorder group ,e .g .absorption/exclu‐sive ,perfection and need for approval [（138 .3 ± 20 .5） ,（15 .7 ± 4 .8） ,（17 .2 ± 3 .4） ,（19 .0 ± 4 .0）] and DAS total score and scores of sub-factors in the schizophrenia group ,e .g .absorption/exclusive [（132 .8 ± 23 .3） ,（14 .5 ± 4 .8）]were statistically higher than that of normal control [（124 .5 ± 17 .3） ,P 〈0 .05] . （3）The DAS total score and scores of sub -factors e .g .vulnerability ,absorption/exclusive ,depend‐ence were statistically higher in depression group than the bipolar disorder group （P〈0 .05） .There was no significant different in in DAS total score between bipolar disorder and schizophrenia groups .The score of need for approval was higher in bipolar disorder group than the schizophrenia group （P〈0 .05） . Conclusions Some patients of depression ,bipolar disorder and schizophrenia may have cognitive dys‐functional attitude .Depressive patients are more obvious in dysfunctional attitude than bipolar disorder and schizophrenia .There is no significant difference between the bipolar disorder and schizophrenia .

关 键 词：精神分裂症 双相障碍 抑郁症 功能失调态度 

分 类 号：R749.3[医药卫生—神经病学与精神病学]