抑郁症述情障碍与认知应对策略的关系

目的：探讨发作期抑郁症述情障碍与认知应对策略的特征。方法：采用多伦多述情量表（TAS-20）中文版、认知情绪调节问卷中文版（CERQ-C）对143例发作期抑郁症患者进行评定,并与95名健康志愿者（对照组）比较。结果：抑郁症组TAS-20总分及各因子分均显著高于对照组（P均〈0.01）。CERQ-C中责难自己、接受、沉思、灾难化、责怪他人因子分高于对照组,理性分析因子分低于对照组（P〈0.05或P〈0.01）。患者住院与他人交流、与家人的感情等依次进入TAS-20因子I的回归方程;父母的文化程度、经济状况等依次进入TAS-20因子II的回归方程;受教育年限、CERQ接受因子等依次进入TAS-20因子III的回归方程;与他人的交流、与家人的感情等依次进入TAS-20总分的回归方程。结论：抑郁发作患者存在明显的述情障碍与不良的认知应对策略。认知应对策略、性别、受教育年限等为发作期抑郁症患者述情障碍的重要影响因素。

The relationship between alexithymia and cognitive coping strategies in depressive patients

Objective： To investigate the alexithymia,cognitive coping strategy and their relationship in depressive patients. Method： 143 depressive patients were assessed with the Chinese version of cognitive emotion regulation questionnaire （CERQ-C） and the twenty-item version of Toronto alexithymia scale （TAS-20） ,and the results were compared with 95 healthy people （controls） . Results： Compared with controls,depressive patients showed significantly higher scores in the total score and factor scores of TAS-20 （P 0. 01） , higher scores in selfblame,acceptance,rumination,catastrophizing,blaming and lower score in perspective of CERQ-C（P 0. 05） . The factor communication and affection entered the regression equation for factor one of TAS-20. Their parents＇ education degree and economic status entered the regression equation for factor two of TAS-20. Education and acceptance of CERQ-C entered the regression equation for factor three of TAS-20. The factor communication,affection with relatives entered the regression equation for total score of TAS-20. Conclusion： Depressive patients suffered from significant alexithymia and bad cognitive coping strategies. Cognitive coping strategies,gender and education years influence alexithymia in depressive patients.