抑郁症患者自我怜悯水平及其与快感缺失的关系  

The relationship between self-compassion and anhedonia in depression patients

作　　者：岳君思 耿峰[2] 董毅[1,2] 朱道民[2] 穆菁菁[2] 方文梅[2] 谢思思[2] 高莉玲[2] 高艳平[2] 田仰华[2] 汪凯[1] 

机构地区：[1]安徽医科大学研究生学院医学心理系,合肥230032 [2]安徽省精神卫生中心,合肥230022

出　　处：《安徽医科大学学报》2016年第7期1058-1061,共4页Acta Universitatis Medicinalis Anhui

基　　金：国家自然科学基金(编号:81471117)

摘　　要：目的比较抑郁症患者与正常者的自我怜悯水平,探讨抑郁症患者自我怜悯与快感缺失间的关系。方法采用中文版自我怜悯量表(SCS-C)、中文版社会快感缺失量表(RSAS-C)和中文版躯体快感缺失量表(RPAS-C)对76例不同症状水平的抑郁症患者和79例正常者进行评估,抑郁症患者同时做中文版Beck抑郁自评量表(BDI)评估,分析患者自我怜悯水平与快感缺失间的关系。结果患者组SCSC总分及其自我友善、普遍人性和正念因子得分均低于正常组(P<0.01);患者组RSAS-C和RPAS-C得分高于对照者(P<0.01);患者组SCS-C总分及其各个因子分与BDI得分(r=-0.699^-0.610,P<0.01)、RSAS-C得分(r=-0.446^-0.391,P<0.01)和RPAS-C得分(r=-0.481^-0.429,P<0.01)呈负相关性,控制BDI得分后,SCS-C得分与RSAS-C和RPAS-C得分间的相关性差异无统计学意义。结论抑郁症患者自我怜悯水平较低,与社会和躯体快感缺失间存在相关,这种关联受抑郁症状严重程度的影响。Objective To compare the levels of self-compassion in depression patients with those in normal population,and to explore the relationship between self-compassion and anhedonia. Methods Different levels of symptoms of 76 depression patients and 79 healthy subjects were assessed with Chinese version of revised self-compassion scale（ SCS-C）,Chinese version of revised social anhedonia（ RSAS-C） and Chinese version of revised physical anhedonia（ RPAS-C）. Meanwhile,the symptoms of patients with schizophrenia were assessed by Chinese version of Beck depression rating scale（ BDI）. Results The patients had significantly lower SCS-C total scores and the subscores of self kind,common humanity and mindfulness than those of healthy subjects（P〈0.01）. The scores of RSAS-C and RPAS-C in patients were significantly higher than those in the control group（P〈0.01）. Correlation analysis showed that in the patients group,the SCS-C scores were significantly negatively correlated with the scores of BDI（r=-0.699--0.610,P〈0.01）,RSAS-C（r=-0.446--0.391,P〈0. 01） and RPAS-C（r=-0.481--0.429,P〈0.01）. After control of the BDI score,the researcher found that the relationship between the self-compassion and anhedonia could not maintain. Conclusion Patients with depression have self-compassion deficits. The relationship between the low level of self-compassion and anhedonia is involved in the severity of symptoms in depression patients.

关 键 词：自我怜悯 快感缺失 抑郁症状 抑郁症 

分 类 号：R749.42[医药卫生—神经病学与精神病学]