作　　者： ; ; ; ;

机构地区： 中南大学湘雅二医院

出　　处： 《心理科学》 2005年第2期392-394,387,共4页

摘　　要： 目的:探讨抑郁症患者治疗前后自动思维、应付方式变化对抑郁严重程度变化的影响及其相互作用。方法:对97例抑郁症患者分别在其入、出院时进行测评,测评工具包括自评抑郁量表、自动思维问卷和归因方式问卷。此外对1 0 0例正常对照亦进行上述测评,其中2 9例在1 5 - 2 0天后重测。结果:自动思维问卷得分、归因方式问卷得分的logistic回归分析、路径分析表明,自动思维、对正性事件的整体性维度的归因方式对抑郁程度的影响有显著作用,自动思维的变化对SDS的变化的直接影响最大(路径系数为0 .572 ) ,归因方式中正性事件整体性归因的变化为其次(路径系数为- 0 .1 93) ,而自动思维的变化与归因方式中正性事件整体性归因的变化的相互影响较小(路径系数为- 0 .1 88)。结论:自动思维、对正性事件的整体性维度的归因方式对抑郁严重程度有显著影响。 To explore the effects and interaction of automatic thoughts and Att ributional Styles in the severity of symptoms in major depression. Methods: A co hort of 97 major depressed in-patients was assessed on admission and at dischar g e. The assessment included Self-Rating Depression Scale (SDS), the Automatic Th o ughts Questionnaire and the Attributional Styles Questionnaire (ASQ). 100 normal subjects were assessed, too. 29 of them were reassessed 15～20 days later. The data were treated with Logistic regression analysis and pathanalysis. Results: T he Automatic Thoughts and the global-specific attributional styles to positive e vents played a significant role in major depression by using Logistic regression analysis. Pathanalysis showed that, the alteration of the Automatic Thoughts ha d significant direct effects on the change of the severity of depression, and th e global-specific attributional styles to positive events was the second, while the interaction between the alteration of the automatic thoughts and the global - specific attributional styles to positive events was relatively small. Conclusio ns: The alteration of the automatic thoughts and the global-specific attributio n al styles to positive events had significant effects on the change of the severi ty in major depression.

关 键 词： 归因方式 抑郁症 多因素分析 思维 自动 回归分析 整体性 相互作用 应付方式 直接影响 相互影响 问卷 路径 事件 测评 分析表 患者 得分 维度 中正

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