单双相抑郁障碍患者应对方式的比较  

Comparison of coping style between patients with depression and bipolar disorder

作　　者：孙萍 黄佳[1] 王宇[2] 孙霞 吴丹萍 卢卫红 苑成梅[1] 方贻儒[1] 

机构地区：[1]上海交通大学医学院附属精神卫生中心,200030 [2] 上海市虹口区精神卫生中心

出　　处：《神经疾病与精神卫生》2017年第3期170-172,共3页Journal of Neuroscience and Mental Health

基　　金：基金项目：上海交通大学“医工交叉研究基金”面上项目（YG2011MS37）;上海市卫生局公共卫生海外留学人才项目（GWHW201202）;上海市科委医学引导项目（124119a8602）;“十二五”国家科技支撑项目（2012BA101804）

摘　　要：目的 比较双相抑郁障碍与复发性抑郁障碍患者的应对方式,并评估应对方式与两种疾病的关联.方法 采用横断面的病例对照设计,共入组双相抑郁障碍患者144例,复发性抑郁障碍患者189例,健康对照123例,应用特质应对方式问卷（TCSQ）评估被试的应对方式.结果 与对照组比较,两患者组消极应对方式得分较高,积极应对方式得分较低,差异均有统计学意义（P〈0.01）;与复发抑郁障碍患者相比,双相抑郁障碍组积极应对方式较高（P〈0.01）.同种疾病中,非缓解期的患者较缓解期患者消极应对方式得分更高,积极应对方式得分更低.Logistic回归分析结果显示,在控制了年龄和疾病状态的影响后,积极应对方式仍是患双相障碍的危险因素（OR=1.064,95%CI=1.026~1.102）,该模型对双相障碍的预测准确率为64.3%.结论 与复发抑郁障碍患者相比,双相抑郁障碍患者多采用较为积极的应对方式;采用较为积极的应对方式的抑郁障碍患者,发展成双相障碍的可能性较大.Objective To explore the coping style of patients with depression and bipolar disor-der, and the association between bipolar disorder and coping style.Methods The study was designed as a cross-sectional case-control study. 144 patients with bipolar disorder, 189 patients with recurrent depression and 123 healthy controls were enrolled. Trait Coping Styles Questionnaire （TCSQ） was used to evaluate the coping style of all participants.Results Compared to control group, patients in both bipolar disorder group and recur-rent depression group scored significantly differentially in terms of coping style （P〈0.01）. The score of positive coping style was significantly higher in bipolar disorder group than depression group （P〈0.01）. In bipolar dis-order group and recurrent depression group, patients in non-remission period showed higher negative coping style score and lower positive coping style score than those in remission period. In Logistic analysis, while con-trolled the effect of age and disease status, positive coping style was a risk factor of bipolar disorder （OR=1.064, 95%CI=1.026-1.102）. The predictive rate of logistic regression equation was 64.3%.Conclusions Compared with recurrent depression, patients with bipolar disorder might use relatively positive coping style. The patients with depressive episode who use relatively positive coping style are more likely to develop bipolar disorder.

关 键 词：双相情感障碍 抑郁障碍 应对方式 

分 类 号：R135[医药卫生—劳动卫生]