抑郁症患者心理弹性与内隐和外显自杀意念的相关性
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摘要
目的:考察抑郁症患者心理弹性对内隐和外显自杀意念的调节作用。方法:选取94名抑郁症患者测量贝克自杀意念量表中文版(BSICV)、汉密尔顿抑郁量表(HAMD)、心理弹性量表(CD-RISC),并通过内隐自杀意念联结测验(ISAT)考察患者的内隐自杀意念(D值)。结果:有外显自杀意念组的心理弹性总分和各维度得分均显著低于无外显自杀意念组(t=-2.73,-2.41,-2.52,-2.95;P<0.05)。心理弹性总分及各维度得分与D值显著负相关(r=-0.32,-0.32,-0.23,-0.33;P<0.05),心理弹性总分、力量性及乐观性维度得分与外显自杀意念总分显著负相关(r=-0.25,-0.29,-0.33;P<0.05)。心理弹性的乐观性维度对内隐和外显自杀意念均具有显著的预测作用(R~2=0.25,0.18;P<0.01)。结论:抑郁症患者的心理弹性与其内隐和外显自杀意念均显著相关,心理弹性的乐观维度是可以显著调节患者的自杀意念。
Objective:To investigate the relationship between resilience and implicit and explicit suicidal ideation in patients with depression.Methods:Beck Scale for Suicide Ideation-Chinese Version(BSICV),Hamilton Depression Scale(HAMD),The Conner-Davidson Resilience Scale(CD-RISC)and Implicit Suicide Association Test(ISAT)were tested in patients with depression.Results:The scores of resilience and each dimension in patients with explicit suicide ideation were significantly lower than those without explicit suicide ideation(t=-2.73,-2.41,-2.52,-2.95;P<0.05).The scores of resilience and each dimension were negatively correlated with the D value(r=-0.32,-0.32,-6.23,-0.33;P<0.05).The scores of resilience,strength and optimism were negatively correlated with the scores of explicit suicide ideation(r=-0.25,-0.29,-0.33;P<0.05).The optimism had significant negative predictive effect(R~2=0.25,0.18;P<0.01).Conclusion:Resilience is significantly negatively related to implicit and explicit suicidal ideation,and optimism is an important protective factor for suicidal ideation.
Objective:To investigate the relationship between resilience and implicit and explicit suicidal ideation in patients with depression.Methods:Beck Scale for Suicide Ideation-Chinese Version(BSICV),Hamilton Depression Scale(HAMD),The Conner-Davidson Resilience Scale(CD-RISC)and Implicit Suicide Association Test(ISAT)were tested in patients with depression.Results:The scores of resilience and each dimension in patients with explicit suicide ideation were significantly lower than those without explicit suicide ideation(t=-2.73,-2.41,-2.52,-2.95;P<0.05).The scores of resilience and each dimension were negatively correlated with the D value(r=-0.32,-0.32,-6.23,-0.33;P<0.05).The scores of resilience,strength and optimism were negatively correlated with the scores of explicit suicide ideation(r=-0.25,-0.29,-0.33;P<0.05).The optimism had significant negative predictive effect(R~2=0.25,0.18;P<0.01).Conclusion:Resilience is significantly negatively related to implicit and explicit suicidal ideation,and optimism is an important protective factor for suicidal ideation.
引文
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[26]Yu X N,Zhang J X.Factor analysis and psychometric evaluation of the Connor-Davidson Resilience Scale(CD-RISC)with Chinese people[J].Social Behavior And Personality,2007,35(1):19-30
[27]Greenwald A G,Nosek B A,Banaji M R.Understanding and using the implicit association test[J].Journal of Personality and Social Psychology,2003,85(2):197-216
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[31]Mahgoub N A,Kotbi N.Acute depression and suicidal attempt following lowering the frequency of deep brain stimulation[J].Journal of Neuropsychiatry and Clinical Neurosciences,2009,21(4):468-468
[32]汪作为,张少平,陈银娣.抑郁症患者治疗前后自杀意念比较及影响因素分析[J].中华行为医学与脑科学杂志,2007,16(12):1083-1085
[33]周静,戴立磊,邹韶红,等.抑郁症患者合并躯体疾病情况及其与自杀意念的关系研究[J].中国全科医学,2016,19(4):462-465
[34]Mengjiao W,Liping S,Baoli S,et al.Correlation analysis of resilience,defense mechanism and depression in patient with depression[J].China Journal of Health Psychology,2017,25(2):165-168
[35]Xingxin H,Liping S,Xuejiao B.Mother Way of punishment and depression:Moderating effect of resilience in young adulthood[J].China Journal of Health Psychology,2016,24(11):1731-1734
[36]王倩倩,杨振斌,李焰.心理应激对自杀倾向的影响:有调节的中介模型[J].中国临床心理学杂志,2014,22(6):1016-1019+1027
[37]杨艳,邓婕.心理弹性对贫困大学生生活压力与自杀意念关系的调节作用[J].当代教育理论与实践,2015,7(2):137-140
[2]Hoyert D L,Xu J.Deaths:Preliminary Data for 2011[C]// National Center for Health Statistics,2012:1-51
[3]Phillips M R,Li X,Zhang Y.Suicide rates in China,1995-1999,Lancet[J].Lancet,2002,359(9309):835-840
[4]Cavanagh J T,Carson A J,Sharpe M,et al.Psychological autopsy studies of suicide:A systematic review[J].Psychological Medicine,2003,33(3):395-405
[5]Beautrais A L,Joyce P R,Mulder R T,et al.Prevalence and comorbidity of mental disorders in persons making serious suicide attempts:A case-control study[J].The American Journal of Psychiatry,1996,153(8):1009-1014
[6]胡泽卿,刘协和,曹莉萍.抑郁症的自杀未遂及其危险因素分析[J].中华精神科杂志,1997,30(2):70-73
[7]陈德沂,夏友春,严善明,等.伴自杀行为抑郁症患者的临床特点[J].中国心理卫生杂志,1996,10(2):89-90
[8]Liang Yingnan,Yang Lizhu.The retrospect and prospect of the empirical study of suicidal ideation[J].China Journal of Health Psychology,2012,20(3):480-480
[9]Nock M K,Park J M,Finn C T,et al.Measuring the suicidal mind:Implicit cognition predicts suicidal behavior[J].Psychological Science,2010,21(4):511-517
[10]李欢欢,骆晓君,王湘.大学生的孤独感与自杀意念的关系:来自内隐和外显测量的证据[J].中国临床心理学杂志,2012,20(6):805-808
[11]Randall,Jason R,Rowe,Brian H,Dong,Kathryn A,et al.Assessment of self-harm risk using implicit thoughts[J].Psychological assessment,2013,25(3):714-721
[12]Ellis T E,Rufino K A,Green K L.Implicit measure of life/death orientation predicts response of suicidal ideation to treatment in psychiatric inpatients[J].Archives of Suicide Research,2015,20(1):1529-1543
[13]李诚,董燕,岳俊超,等.单类内隐联想测验评估自杀意念的有效性初探[J].精神医学杂志,2017,30(2):93-95
[14]Fazio R H.Attitudes as object-evaluation associations:Determinants,consequences,and correlates of attitude accessibility[M].Attitude Strength:Antecedents and Consequences,1995,4:247-282
[15]付佳林.抑郁症患者自杀态度相关研究及其心理干预[D].苏州:苏州大学,2014
[16]朱清,范方,郑裕鸿,等.心理弹性在负性生活事件和抑郁症状之间的中介和调节:以汶川地震后的青少年为例[J].中国临床心理学杂志,2012,20(4):514-517
[17]Lutha S S,Cicchetti D.The construct of resilience:Implications for interventions and social policies[J].Development and Psychopathology,2000,12(4):857-885
[18]Richardson G E.The metatheory of resilience and resiliency[J].Journal of Clinical Psychology,2002,58(3):307-321
[19]郑裕鸿,范方,喻承甫,等.青少年感恩与创伤后应激障碍症状的关系:社会支持和心理弹性的中介作用[J].心理发展与教育,2011,27(5):522-528
[20]Wingo A P,Wrenn G,Pelletier T,et al.Moderating effects of resilience on depression in individuals with a history of childhood abuse or trauma exposure[J].Journal of Affective Disorders,2010,126(3):411-414
[21]Fredrickson B L,Tugade M M,Waugh C E,et al.What good are positive emotions in crises?A prospective study of resilience and emotions following the terrorist attacks on the United States on September 11th,2001[J].Journal of Personality and Social Psychology,2003,84(2):365-376
[22]Beck A T,Kovacs M,Weissman A.Assessment of suicidal intention:The Scale for Suicide Ideation[J].Journal of Consulting and Clinical Psychology,1979,47(2):343-352
[23]李献云,费立鹏,童永胜,等.Beck自杀意念量表中文版在社区成年人群中应用的信效度[J].中国心理卫生杂志,2010,24(4):250-255
[24]Max Hamilton.A rating scale for depression[J].Journal of Neurology,Neurosurgery and Psychiatry,1960,23(1):56-61
[25]Connor K M,Davidson J R.Development of a new resilience scale:The Connor-Davidson Resilience Scale(CD-RISC)[J].Depression and Anxiety,2003,18(2):76-82
[26]Yu X N,Zhang J X.Factor analysis and psychometric evaluation of the Connor-Davidson Resilience Scale(CD-RISC)with Chinese people[J].Social Behavior And Personality,2007,35(1):19-30
[27]Greenwald A G,Nosek B A,Banaji M R.Understanding and using the implicit association test[J].Journal of Personality and Social Psychology,2003,85(2):197-216
[28]Wilson T D,Lindsey S,Schooler T Y.A model of dual attitudes[J].Psychological Review,2000,107(1):101-126
[29]唐军华.内隐自杀意念测量及在自杀逃避理论中的应用[D].西安:第四军医大学,2013
[30]Prager L M.Depression and suicide in children and adolescents.[J].Pediatrics in review / American Academy of Pediatrics,2009,30(6):199-205
[31]Mahgoub N A,Kotbi N.Acute depression and suicidal attempt following lowering the frequency of deep brain stimulation[J].Journal of Neuropsychiatry and Clinical Neurosciences,2009,21(4):468-468
[32]汪作为,张少平,陈银娣.抑郁症患者治疗前后自杀意念比较及影响因素分析[J].中华行为医学与脑科学杂志,2007,16(12):1083-1085
[33]周静,戴立磊,邹韶红,等.抑郁症患者合并躯体疾病情况及其与自杀意念的关系研究[J].中国全科医学,2016,19(4):462-465
[34]Mengjiao W,Liping S,Baoli S,et al.Correlation analysis of resilience,defense mechanism and depression in patient with depression[J].China Journal of Health Psychology,2017,25(2):165-168
[35]Xingxin H,Liping S,Xuejiao B.Mother Way of punishment and depression:Moderating effect of resilience in young adulthood[J].China Journal of Health Psychology,2016,24(11):1731-1734
[36]王倩倩,杨振斌,李焰.心理应激对自杀倾向的影响:有调节的中介模型[J].中国临床心理学杂志,2014,22(6):1016-1019+1027
[37]杨艳,邓婕.心理弹性对贫困大学生生活压力与自杀意念关系的调节作用[J].当代教育理论与实践,2015,7(2):137-140