摘要
目的探讨抑郁症病人的自动思维和应付方式以及与抑郁症状严重程度的关系。方法采用汉密尔顿17项抑郁量表(HAMD-17)、汉密尔顿焦虑量表(HAMA)、自动思维问卷(ATQ)及应付方式问卷对85例抑郁症病人分别于治疗前及治疗6周末进行问卷调查,比较治疗前及治疗6周末评分结果。结果治疗6周末,抑郁症病人的HAMD及ATQ评分均较治疗前下降(P<0.01)。应付方式方面,抑郁症病人的退避及自责评分分别由治疗前的(0.49±0.23)、(0.53±0.27)降为(0.38±0.21)、(0.39±0.26),而求助及解决问题评分分别由治疗前的(0.37±0.22)、(0.47±0.29)升为(0.48±0.24)、(0.63±0.33)(P<0.01);幻想及合理化评分则变化不明显(P>0.05)。结论抑郁症病人的自动思维、退避、自责、求助及解决问题评分随抑郁症状的严重程度变化而变化,具有状态化特征;幻想及合理化具有相对稳定性。
Objective To investigate the characteristics of automatic thoughts and the way of coping and their relationship with depression.Methods A total of 85 patients with depression were assessed before and after treatment.The assessment instruments included Self Rating Depression Scale（SDS）,the Automatic Thoughts Questionnaire（ATQ）and the Way of Coping Questionnaire.Results The scores of SDS and ATQ of depressive patients after treatment were lower than those before treatment（all P0.01）.In the way of coping,the scores of avoidance and self blame of depressed patients after treatment were lower than those before treatment（all P0.01）.The scores of helping and problem solving of depressive patients after treatment were higher than those before treatment（all P0.01）.The scores of fancy and rationalization of depressive patients didn＇t show significant difference before and after treatment（all P0.05）.Conclusion The automatic thoughts and way of coping have different features following the change of depressive severity in depressive patients,aiming to give them the psychology interference in the work.
出处
《中国健康心理学杂志》
2012年第9期1294-1296,共3页
China Journal of Health Psychology
基金
科技部十五攻关项目
编号(2004BA720A21-01)
陕西省科学技术研究发展计划项目
编号(2007K15-03)
