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首发抑郁症患者神经质人格与抑郁状态 以及认知功能的关系
刘鹏鸿李业宁田雨宋晓玥张克让
0
()
摘要:
目的 探索首发抑郁症患者神经质人格、抑郁症状以及认知功能的关系。方法 使用汉 密尔顿抑郁量表17 项(HAMD-17)、艾森克人格问卷(EPQ)、韦氏成人智能测验(WAIS-RC)对156 例首发 抑郁症患者进行测评和研究。结果 (1)抑郁症患者神经质人格与HAMD-17 总分呈正相关(r=0.301, P<0.01),与言语商数分(r=-0.276,P<0.01)、操作商数分(r=-0.205,P<0.05)、韦氏总分(r=-0.256,P<0.01) 呈负相关;HAMD-17 总分与言语商数分(r=-0.426,P< 0.01)、操作商数分(r=-0.330,P< 0.01)和韦氏总 分(r=-0.376,P < 0.01)呈负相关。(2)抑郁症状在神经质人格影响韦氏测验分数中起到部分中介作用, 其中介效应为38.7%。结论 首发抑郁症患者神经质人格通过抑郁症状进而影响部分认知功能。
关键词:  抑郁症  神经质  认知功能
DOI:10.3969/j.issn.1009-6574.2019.04.003
基金项目:
Relationship between neuroticism, depression and cognitive function in patients with first-episodedepression
()
Abstract:
Objectives To explore the relationship between neuroticism, depression and cognitive function in patients with first-episode depression. Methods The 17-item Hamilton Depression Scale( HAMD-17), Eysenck Personality Questionnaire( EPQ), Wechsler Adult Intelligence Test( WAIS-RC) were used to evaluate and study 156 cases of patients with first-episode depression. Results (1) In depressive patients, the neurotic personality was positively correlated with the total score of HAMD-17( r=0.301,P< 0.01) but was negatively correlated with Verbal IQ( VIQ)( r=-0.276, P< 0.01), Performance IQ( PIQ)( r=-0.330,P< 0.01) and Full IQ( FIQ)( r=-0.376,P < 0.01).( 2) Depressive symptoms played a partial mediating role between neurotic personality and WAIS-IQ, the mediator effect was 38.7%. Conclusions Neurotic personality of first-episode depression patients affected cognitive function through depressive symptoms.
Key words:  Depression  Neuroticism  Cognitive function

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