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抑郁症完美主义心理及应付方式的病例对照研究
唐毅,李雪丽,谭文艳
0
()
摘要:
目的 探讨抑郁症患者的完美主义心理特点及与应付方式之间的关系.方法 在本病例对照研究中,选取65例符合ICD- 10精神与行为障碍分类中抑郁症诊断标准的门诊或住院患者及65例按照性别、年龄、受教育程度进行配比的无精神障碍的志愿者,用中文Frost多维度完美主义问卷、应付方式问卷对其进行问卷调查.结果 病例组在完美主义总分(90.05±17.48)分vs(68.01±10.23)分、担心错误(24.46±7.40)分Vs(12.38±5.07)分、行动的疑虑(14.89±3.79)分vs(8.26±3.03)分、父母期望(12.45±4.24)分Vs(8.76±4.01)分、退避(0.61±0.26)分Vs(0.27±0.24)分、幻想(0.49±0.24)分Vs(0.32±0.15)分和自责(0.56±0.26)分Vs(0.29±0.14)分上得分高于对照组(P<0.05),而在求助(0.33±0.14)分Vs(0.52±0.23)分、解决问题(0.28±0.13)分vs分(0.59±0.27)上得分低于对照组(均P<0.05).完美主义总分与退避、自责正相关(r=0.58,0.48,P<0.01),与求助、解决问题负相关(r =-0.55,-0.55,P<0.01).结论 抑郁症患者可能比正常人更追求完美,更多使用不成熟的应付方式.
关键词:  抑郁症  完美主义  中文Frost多维度完美主义问卷  应付方式
DOI:
基金项目:
A case-control study of perfectionism and coping style in major depression
TANG Yi,LI Xue-li,TAN Wen-yan
()
Abstract:
Objective To explore perfectionism and coping style of patients with major depression and their relationship. Methods A case--control study was implemented. 65 inpatients or outpatients who met ICD--10 criteria for major depression and 65 controls without mental disorder were recruited, matched by gender,age(±3),and education background. Chinese Frost Multidimensional Perfectionism Scale (CFMPS) and Coping Style Questionnaire were self--reported by the subjects. Results The patient group had higher scores in total score of CFMPS [-(90. 05±17.48)vs. (68. 01±10.23)], concern o- ver mistakes[(24.46± 7. 40) vs. (12.38±5.07)], doubts about actions [(14. 89±3. 79) vs. (8.26 ± 3.03)],parental expectations [-(12. 45±4. 24)vs. (8. 76±4.01)],escape E(0. 61± 0. 26)vs. (0. 27± 0.24)],fantasy [(0. 49±0.24)vs. (0. 32±0. 15)] and self--accusation E(0. 56±0.26)vs. (0. 29± 0.14)] than the control group (P 〈 0.05). The patient group had lower scores in seeking help in turn [(0. 33±0.14)vs. (0. 52±0.23)], solving problems [(0.28±0.13)vs. (0. 59±0.27)] than the control groups (P 〈0.05). The total score of CFMPS had positive relationship with escape and self--accusation (r =0.58, P 〈 0.01;r =0.48, P 〈0.01) and negative relationship with seeking help in turn and solving problems (r =--0.55,P〈 0.01;r=-0.55,P〈 0.01). Conclusions Compared to normal subjects,the patients with major depression may desire to achieve higher standards of performance and make excessive use of the immature coping styles.
Key words:  Major Depression  Perfectionism  Chinese Frost Multidimensional Perfectionism Scale  Coping Style

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