摘要
目的探讨抑郁症患者的家庭功能与临床症状相关性及对自杀意念的影响。方法采用一般情况调查表和汉密尔顿抑郁量表（HAMD）、自杀意念自评量表（SIOSS）、家庭亲密度与适应性评定量表（FACESII—CV）、90项症状量表（SCL-90）对某三级甲等医院心理科住院并愿意接受研究的125例抑郁症患者进行调查，按照SIOSS的评分标准分为有自杀意念组（SIOSS≥12分）81例和无自杀意念组（SIOSS〈12分）44例，分析两组患者家庭功能及临床症状的相关性。结果（1）有自杀意念组患者FACESII-CV评分明显低于无自杀意念组（P〈0．05），有自杀意念组家庭分型最多的为极端型家庭，无自杀意念组最多的为中间型家庭。（2）有自杀意念组患者的SCL-90评分总分及各因子评分均高于无自杀意念组（P〈0．01）。（3）有自杀意念组患者SCL-90的人际关系敏感、敌对、偏执等因子评分与家庭亲密度评分呈负相关，SCL-90总分、总均分、阳性项目均分、躯体化、强迫状态、人际关系敏感、抑郁、焦虑、敌对、偏执、精神病等因子评分与家庭适应性评分呈负相关（P〈0．01）；多元线性逐步回归分析，得出方程为Y=2．523X。（抑郁因子）-0．144X2（家庭适应性评分）＋13．659。结论有自杀意念患者家庭功能比无自杀意念患者更差，临床症状更复杂、多样、严重化；无自杀意念的患者更常见于中间型家庭，有自杀意念的患者更常见于极端型家庭；有自杀意念的患者家庭功能越差，临床症状越严重；抑郁程度及家庭适应性是抑郁症患者自杀意念的影响因素。
Objective To explore the correlation between family function and clinical symptom in depression and its effect on suicidal ideation. Methods Forms of General information, Hamilton Depression Scales （ HAMD）, Self-rating Idea of Suicide Scale （ SIOSS）, Symptom Checklist （SCL-90） and Family Adaptability and Cohesion Scale, Second Edition （FACESII-CV） were used to the survey in which 125 voluntary subjects were involved who were then under the treatment in the hospital. All the subjects were divided into two groups by SIOSS standard for evaluation, including the suicidal ideation group （SIOSS t〉 12 points; 81 cases）, and the non-suicidal ideation group （SIOSS 〈 12 points; 44 cases）. Results （1） The scores showing FACESII-CV of suicidal ideation patients were evidently lower than those the non-suicidal ideation patients （ P 〈 0. 05 ）. The highest proportion of the family type was intermediate type in non-suicidal ideation patients and extreme type in the suicidal ideation patients. （2） The scores showing SCL-90 of suicidal ideation patients were evidently higher than those the non-suicidal ideation patients （P 〈 0. 05）. （3） The scores of family cohesion had negatively correlated with interpersonal sensitivity, hostility, paranoid ideation of SCL-90. The scores of family adaptability had negatively correlated with total scores, total average, positive symptom distresslevel, somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, paranoid ideation, and psychoticism of SCL-90. The multiple linear regression was Y = 2. 523X2 （depression） -0. 144X2 （family adaptability） ＋ 13. 659. Conclusions It is revealed that the suicidal ideation depression patients suffer less sufficient family cohesion and adaptability than non-suicidal ideation. Its clinical symptoms are more complex, diverse, and severe. Most of them have an intermediate type family in non-suicidal ideation depressions, and the most common family type in the suicidal ideation depressions is extreme type family. For the suicidal ideation depression patients, the worse the family function, the more severe the clinical symptoms. Degree of depression and family adaptability has speculated significance to suicidal ideation.
出处
《中国医师杂志》
CAS
2017年第2期220-223,共4页
Journal of Chinese Physician
基金
湖北省教育厅科学技术项目（B2016500）
湖北省教育厅人文社会科学研究项目（16Q193）
关键词
抑郁症
家庭
自杀
Depressive disorder
Family
Suicide
