单相抑郁与双相抑郁青少年住院患者的应对方式比较  

Comparison of coping styles between adolescent inpatients with unipolar depression and bipolar depression

作　　者：彭莎栗 赵玉洁 郭斐斐 张燕[1] 仲照希[1] 张俊蕾[1] PENG Shali;ZHAO Yujie;GUO Feifei;ZHANG Yan;ZHONG Zhaoxi;ZHANG Junlei(the Second Affiliated Hospital of Xinxiang Medical University/Henan Provincial Mental Health Center,Xinxiang 453002,China)

机构地区：[1]新乡医学院第二附属医院/河南省精神卫生中心,河南新乡453002

出　　处：《临床医学研究与实践》2023年第30期1-4,共4页Clinical Research and Practice

基　　金：河南省生物精神病学重点实验室2022年度开放课题定向项目(No.ZDSYS2022D02);新乡医学院第二附属医院院内项目[医疗技术〔2021〕第9号]。

摘　　要：目的探讨单相抑郁与双相抑郁青少年住院患者应对方式的差异,为临床青少年心境障碍住院患者提供个性化的健康指导。方法选取2021年6月至12月河南省精神卫生中心儿童少年精神科的110例住院患者作为研究对象,其中单相抑郁60例,双相抑郁50例,采用简易应对方式问卷(SCSQ)进行评估。结果根据年龄与性别对纳入患者进行分组,对比发现,女孩(占比80.91%)居多,其中初中(年龄12~15岁)组共64例(占比81.01%)。单相抑郁患者的消极应对评分高于双相抑郁患者,差异具有统计学意义(P<0.05)。在积极应对方式方面,单相抑郁患者在“改变原来的一些做法或自己的一些问题”的评分低于双相抑郁患者,差异具有统计学意义(P<0.05);在消极应对方式方面,单相抑郁患者在“通过吸烟、喝酒、服药、吃东西来解除烦恼”“试图忘记整个事情”的评分均高于双相抑郁患者(P<0.05)。结论儿童少年精神科患者的患病年龄以12~15岁为主,并且女孩的患病率更高。相较于双相抑郁患者,单相抑郁患者在遇到挫折与事件后更偏向于选择消极的应对方式,较常见的是采取吸烟、喝酒、服药、忘记事情等。Objective To explore the differences of coping styles between adolescent inpatients with unipolar depression and bipolar depression,and to provide personalized health guidance for the inpatients with clinical adolescent mood disorders.Methods A total of 110 inpatients in the child and adolescent psychiatry department of Henan Provincial Mental Health Center from June to December 2021 were selected as the study objects,including 60 cases of unipolar depression and 50 cases of bipolar depression,and were assessed by Simplified Coping Style Questionnaire(SCSQ).Results The patients were grouped according to age and gender,and it was found that girls(accounting for 80.91%)were the majority,with a total of 64 students in middle school(aged 12-15 years)group(accounting for 81.01%).The negative coping score of patients with unipolar depression was higher than that of patients with bipolar depression,and the difference was statistically significant(P<0.05).In terms of positive coping styles,the score of"changing some of the original practices or their own problems"in patients with unipolar depression was lower than that in patients with bipolar depression,and the difference was statistically significant(P<0.05);in terms of negative coping styles,the scores of"smoking,drinking,taking medicine and eating to relieve the trouble"and"trying to forget the whole thing"of patients with unipolar depression were higher than those of patients with bipolar depression(P<0.05).Conclusion The age of patients in child and adolescent psychiatry department is mainly 12-15 years old,and the prevalence rate of girls is higher.Compared with bipolar depression patients,unipolar depression patients are more inclined to choose negative coping styles after encountering setbacks and events,and the more common ones are smoking,drinking,taking medication,forgetting things,etc.

关 键 词：单相抑郁 双相抑郁 应对方式 青少年 

分 类 号：R749.3[医药卫生—神经病学与精神病学]