神经症患者抑郁状况影响因素的分析.docVIP

精品论文 参考文献 神经症患者抑郁状况影响因素的分析 江家靖 郭文斌(通讯作者) 　　（广西医科大学附属第一医院心理卫生中心 530021） 　　【摘要】目的 对神经症患者抑郁影响因素进行多元线性回归和路径分析，探讨影响抑郁的因素与作用机制。方法　应用流调中心用抑郁量表、自动思维问卷、儿童期经历问卷、ZUNG焦虑自评量表、简易应对方式量表、自尊量表、攻击行为量表和社会支持量表对55例在广西医科大学第一附属医院开放病房住院且经专科医生确诊为神经症患者抑郁的影响因素进行调查与测评。同时应用多元线性回归和路径分析方法调查应对方式、生活事件及社会支持等在抑郁中的影响程度与作用模式，分析各影响因素对抑郁的作用机制。结果　神经症患者抑郁的主要影响因素有：压力反应、自动思维、生活事件、主观支持、客观支持、积极应对与消极应对，各因素对抑郁的影响程度各不相同；自动思维、应对风格直接影响抑郁，社会支持对抑郁的直接影响不具显著性意义，生活事件以应对风格为中介，间接影响抑郁。结论　神经症患者抑郁的发生与生活事件、心理应对方式和社会支持等多种因素相关，多元线性回归和路径分析在探讨抑郁的发生机制过程中分别发挥作用，结果互相补充。 　　【关键词】神经症 抑郁 多元线性回归分析 路径分析 　　【中图分类号】R741 【文献标识码】A 【文章编号】2095-1752（2014）04-0063-03 　　 　　Multiple linear regression and path analysis on influencing factors of depressive neurosis 　　【Abstract】 Objective: To explore the influencing factors and mechanism of depressive neurosis by multiple linear regression and path analysis. Methods: 55 cases of depressive neurosis in open wards of our hospital were investigated. CES-D, ATQ, CTQ, SAS, SCSQ and SSRS were used to explore the influencing factors of depressive neurosis. Multiple linear regression and path analysis were used to probe the influence of depression with life events, coping style and social support. Role model of the main factors was analyzed in this study. Results: Stress response, automatic thoughts, life events, subjective support, objective support, and actively or negative coping were main factors of depressive neurosis. The influences of various factors on depression were different. Automatic thoughts and coping style could induce depression through a direct way. Social support had no direct relation to depression whose path coefficients was not statistically significant. Life events could influence the occurrence of depression through indirect channels (mediated by coping style). Conclusions: The occurrence of depression is a combined effect of life events, coping style and social support. Multiple regression analysis and path analysis have thei