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藏族首发抑郁症患者病耻感特点及与人格的关系
沈晓玲董再全
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摘要:
目的 探讨藏族首发抑郁症患者病耻感特点,并与汉族患者进行对比,分析人格因素与 藏族抑郁症患者病耻感的关联。方法 选择藏、汉族首发抑郁症患者各60 例为调查对象,分别采用 Link 病耻感量表、大五人格量表对其进行调查。结果 在Link 病耻感量表中,藏族患者的退缩因子分 高于汉族患者[(2.45±0.25)分,(2.33±0.24)分;t=-2.082,P< 0.05];在大五人格量表中,藏族患者神经 质因子分低于汉族患者[(3.16±0.51)分,(3.79±0.64)分;t=2.153,P< 0.05],外倾性因子分高于汉族患 者[(2.78±0.63)分,(2.22±0.68)分;t=2.747,P< 0.05]。在藏族患者中,大五人格的开放性因子分与歧 视-感知量表、情感体验量表的得分呈负相关(r=-0.337、-0.311,P< 0.01),而严谨性因子分与两者呈正 相关(r=0.404、0.375,P<0.01),同时神经质因子分与歧视-感知量表的得分呈正相关(r=0.305,P<0.01)。 结论 藏族首发抑郁症患者有异于汉族患者的病耻感特点,并受人格因素的影响。
关键词:  抑郁症  人格  病耻感  藏族
DOI:10.3969/j.issn.1009-6574.2018.09.012
基金项目:
Characteristics of stigma and its relationship with personality in Tibetan patients with first-episodedepression
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Abstract:
Objective To explore the characteristics of stigma in Tibetan patients with firstepisode depression and compare with those of Chinese Han patients, and to analyze the relationship between personalities and stigma in Tibetan depressed patients. Methods A total of 60 Tibetan patients and 60 Chinese Han patients with first-episode depression were selected as subjects. The Link Stigma Scale and the Big Five Personality Scale were respectively used to investigate stigma of disease and personalities. Results In the Link stigma scale, the score of regression factor of Tibetan patients was higher than that of Chinese Han patients, which was( 2.45±0.25) and( 2.33±0.24) respectively( t=-2.082,P<0.05). In the Big Five Personality Scale, the neuroticism of Tibetan patients was lower than that of Chinese Han patients, which was( 3.16±0.51) and (3.79±0.64) respectively( t=2.153,P< 0.05). The score of extroverted factors of Tibetan patients was higher than that of Chinese Han patients, which was( 2.78±0.63) and( 2.22±0.68) respectively( t=2.747,P<0.05). Among Tibetan patients, the score of openness factor of Big Five Personality Scale is negatively correlated with the score of Discrimination-perception Scale and Emotional Experience Scale( r=-0.337,-0.311; P<0.01). While conscientiousness factor score was positively correlated with both( r=0.404, 0.375;P<0.01). Neuroticism score was positively correlated with the score of Discrimination-perception Scale( r=0.305,P<0.01). Conclusions Tibetan patients with first-episode depression have different stigma with Chinese Han people and are affected by personalities.
Key words:  Depressive disorder  Personality  Stigma  Tibetan

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