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结合自评量表和认知任务测量医学生抑郁情绪 被引量:11

Combined with self-rating scales and cognitive task to measure depression tendency of medical students
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摘要 目的研究抑郁主观自评量表和客观认知任务监测方法之间的相关性,为提高医学院在校学生抑郁倾向的筛检率提供更准确有效的方法。方法招募首都医科大学在校学生31名,采用自评量表结合客观任务监测的方法,即要求被试完成常规的自评量表包括Beck抑郁问卷(Beck depression inventory,BDI)、自评抑郁量表(self-rating depression scale,SDS)、抑郁形容词检查表(depression adjective checklist,DACL),以及客观的情绪Stroop任务。结果学生的BDI评分为(7. 57±9. 36)分,SDS评分为(37. 27±5. 23)分,DACL评分为(28. 27±11. 63)分,提示医学生中存在着抑郁倾向。相关分析显示DACL与SDS、BDI的相关性呈显著性(r=0. 44,P <0. 05; r=0. 36,P <0. 05),表明量表测查的医学生抑郁倾向具有一致性。情绪Stroop任务的结果显示正常组(Beck≤4分)和抑郁倾向组(Beck≥5分)对正性词汇的反应时间分别是485 ms和561 ms;对中性词汇的反应时间分别是545 ms和606 ms;对负性词汇的反应时间分别是530 ms和603 ms。相对于中性词汇,被试者对情绪性词汇的反应时延长,有抑郁倾向的医学生存在情绪Stroop效应。结论自评量表与客观认知任务结合将有助于医学院校更有效的筛查出有抑郁倾向的医学生,为进一步抑郁干预提供了前提。 Objective To study the correlation between the subjective self-rating scale of depression and the objective cognitive task monitoring method,and to provide a more accurate and effective method to improve the screening rate of depression in medical students.Methods Thirty-one students from Capital Medical University were recruited;the method of self-rated scale combined with objective task measurement was used.After completing questionnaires including Beck depression inventory(BDI),self-rating depression scale(SDS)and depression adjective checklist(DACL),students were required to perform emotional Stroop experiment immediately.Results The results of the scales indicated:the scores of BDI,SDS and DACL were7.57±9.36,37.27±5.23,28.27±11.63,respectively.The results showed that there was a tendency to depression in medical students,according to the results of the questionnaires,the rate of depression of BDI was53%,the overall trend of the selected scales was positively correlated,among them SDS and DACL,BDI and DACL were significantly correlated(r=0.44,P<0.05;r=0.36,P<0.05).The results of the emotional stroop task showed that the response times to the positive vocabulary in the normal group(Beck≤4points)and the proneness to depression(Beck≥5points)were485ms and561ms,respectively;the response times to the neutral vocabulary were545ms and606ms;the response times to negative vocabulary were530ms and603ms,respectively.Relative to the neutral vocabulary,subjects’response time to emotional vocabulary prolonged.The self-rating scale and objective cognitive tasks have certain extend of correlation.Conclusion The combination of the self-rating scale and objective task measurement will help medical colleges to screen depressive medical students more effectively.This provides a prerequisite for further depressive intervention.
作者 王培培 莫少华 马昕宇 张嘉玲 徐志卿 王静 Wang Peipei;Mo Shaohua;Ma Xinyu;Zhang Jialing;Xu Zhiqing;Wang Jing(Department of Neurobiology,Capital Medical University,Beijing Institute for Brain Disorders,Beijing100069,China)
出处 《首都医科大学学报》 CAS 北大核心 2018年第6期889-893,共5页 Journal of Capital Medical University
基金 国家自然科学基金面上项目(81701099) 首都医科大学校长基金(2016JS20)~~
关键词 自评量表 情绪Stroop 抑郁倾向 医学生 self-rating scale emotional Stroop depression tendency medical students
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