抑郁症患者合并躯体疾病情况及其与自杀意念的关系研究  

Combination Status of Depression and Physical Diseases and Its Relationship With Suicidal Ideation

作　　者：周静[1] 戴立磊 邹韶红[2] 胡曼娜[2] 栾融融[2] 

机构地区：[1]荆楚理工学院医学院,湖北省荆门市448000 [2]新疆维吾尔自治区人民医院临床心理科

出　　处：《中国全科医学》2016年第4期462-465,共4页Chinese General Practice

摘　　要：目的了解抑郁症患者合并躯体疾病情况,并探讨其与自杀意念的关系。方法选取2013年10月—2014年4月在新疆维吾尔自治区人民医院临床心理科住院的抑郁症患者125例,采用一般情况调查表、汉密尔顿抑郁量表(HRSD)和自杀意念自评量表(SIOSS)进行调查。根据SIOSS评分分为有自杀意念组(SIOSS≥12分,n=81)和无自杀意念组(SIOSS<12分,n=44)。抑郁症患者自杀意念评分与合并躯体疾病数量的相关性分析采用Pearson相关分析;抑郁症患者自杀意念的影响因素分析采用多因素Logistic回归分析。结果抑郁症患者合并躯体疾病的前3位分别为失眠(87.2%,109/125)、头痛(69.6%,87/125)、腰背痛(66.4%,83/125);有自杀意念组合并失眠、头痛、腰背痛、焦虑的发生率均高于无自杀意念组,差异有统计学意义(P<0.05)。抑郁症患者自杀意念评分与合并躯体疾病数量呈正相关(r=0.362,P<0.05);多因素Logistic回归分析结果显示,受教育程度、失眠、头痛是抑郁症患者自杀意念的影响因素(P<0.05)。结论抑郁症患者合并躯体疾病中失眠与疼痛最常见;合并躯体疾病数量越多,自杀意念越严重;受教育年限长、失眠、疼痛是自杀意念的危险因素。Objective To investigate the combination status of depression and physical diseases and its relation with suicidal ideation. Methods A total of 125 patients who were hospitalized in the clinical psychological department in Xinjiang Uygur Autonomous Region People＇ s Hospital from October 2013 to April 2014 were enrolled. Questionnaire of general data,Hamilton Rating Scale for Depression（ HRSD） and Self-rating Idea of Suicide Scale（ SIOSS） were employed to conduct survey. According to SIOSS score,the subjects were divided into suicidal ideation group（ SIOSS≥12,n = 81） and non suicidal ideation（ SIOSS 12,n = 44）. Pearson correlation analysis was conducted to explore the correlation between suicidal ideation score of depressive patients and the number of combined physical diseases; multivariate logistic regression analysis was conducted to explore influencing factors for suicidal ideation of depressive patients. Results The first three most commonest combined physical diseases were insomnia（ 87. 2%,109 /125）, headache（ 69. 6%,87 /125） and lower back pain（ 66. 4%,83/125）; the two groups were significantly different in the incidence rates of insomnia,hemicrania,low back pain and anxiety（ P 〈0. 05）. The suicidal ideation score was positively correlation with the number of combined physical diseases（ r = 0. 362,P 〈0. 05）; multivariate logistic regression analysis showed that education degree,insomnia and headache were influencing factors for the suicidal ideation of depressive patients（ P 〈0. 05）. Conclusion Insomnia and pain are most common combined physical diseases in depressive patients; the higher number of combined physical diseases are associated with severe suicidal ideation;education years,insomnia and pain are risk factors for suicidal ideation.

关 键 词：抑郁症 躯体疾病 自杀意念 关系 

分 类 号：R749.42[医药卫生—神经病学与精神病学]