抑郁症患者中医五态人格特征及其与自动思维应对方式关系初探  

Relationship of TCM five-pattern personality traits with automatic thoughts and coping style in depression patients

作　　者：张杰[1] 刘波 杜爱玲[1] 郭飞 陈雷音[1] 杨世昌[2] Zhang Jie;Liu Bo;Du Ailing;Guo Fei;Chen Leiyin;Yang Shichang(The Second Affiliated Hospital of Xinxiang Medical University,Xinxiang 453002,Henan,China;不详)

机构地区：[1]新乡医学院第二附属医院,河南新乡453002 [2]新乡医学院精神疾病中西医结合临床医学中心,河南新乡453002

出　　处：《临床心身疾病杂志》2025年第2期83-87,共5页Journal of Clinical Psychosomatic Diseases

基　　金：新乡医学院第二附属医院精神神经开放课题(编号2022-xyefykfkt-007)。

摘　　要：目的 探讨抑郁症患者中医五态人格特征及其与自动思维、应对方式之间的关系,为抑郁症患者综合防治提供理论依据。方法 将2022年6月~2023年6月收治的83例抑郁症患者设为研究组,另招募91名性别、年龄、文化程度与研究组患者相匹配的健康志愿者,设为对照组。采用五态人格测验表、自动思维问卷(ATQ)及特质应对方式问卷(TCSQ)评估两组受试者五态人格特征、自动思维、应对方式,并分析研究组患者五态人格特征与自动思维、应对方式的相关性。结果 研究组患者五态人格测验表太阳、少阳、阴阳和平维度评分低于对照组,少阴、太阴维度评分高于对照组(P<0.01)。研究组患者ATQ评分、TCSQ消极应对维度评分高于对照组,TCSQ积极应对维度评分低于对照组(P<0.01)。研究组患者五态人格测验表太阳、少阳、阴阳和平维度评分与ATQ评分及TCSQ消极应对维度评分均呈负相关,与TCSQ积极应对维度评分呈正相关(P<0.01);研究组患者五态人格测验表少阴、太阴维度评分与ATQ评分及TCSQ消极应对维度评分呈正相关,与TCSQ积极应对维度评分呈负相关(P<0.01)。结论 抑郁症患者在中医五态人格分类中倾向于少阴、太阴,且其负性自动思维、消极应对方式出现频率高,调理中医偏阴人格可能是抑郁症综合防治的关键。Objective To explore the relationship of five-pattern personality traits of traditional Chinese medicine(TCM)with automatic thoughts and coping style in depression patients in order to provide theoretical basis for the comprehensive prevention and treatment of depression patients.Methods Eighty-three depression patients treated from Jun.2022 to Jun.2023 were set as research group,and additional 91 matched gender,age,and education level healthy volunteers recruited as control group.The Five-Pattern Personality Inventory(FPPI),Automatic Thoughts Questionnaire(ATQ),and Trait Coping Style Questionnaire(TCSQ)were utilized to assess the five-pattern personality traits,automatic thoughts,and coping styles for both groups respectively,the relationships of five-pattern personality traits with automatic thinking and coping style between analyzed.Results Taiyang,Shaoyang and Yin-yang balance score of the FPPI were lower,Shaoyin and Taiyin higher in research than control group(P<0.01).The ATQ score and TCSQ negative coping were higher,TCSQ positive coping was lower in research than control group(P<0.01).Taiyang,Shaoyang and Yin-yang balance score of the FPPI were negatively associated with the ATQ score and TCSQ negative coping score and positively with TCSQ positive coping score in research group(P<0.01).Shaoyin and Taiyin score were positively associated with the ATQ score and TCSQ negative coping score and negatively with positive coping score in research group(P<0.01).Conclusion Depression patients tend to Shaoyin and Taiyin personality traits in TCM five-pattern personality classification,the frequency of negative automatic thoughts and negative coping styles is high,and recuperation of TCM partial Yin personality may be crucial for comprehensive prevention and treatment of depression.

关 键 词：抑郁症 中医五态人格 自动思维 应对方式 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R277.7[医药卫生—临床医学]