【摘要】 目的:比较广泛性焦虑障碍(GAD)患者与正常者自我怜悯水平,探讨患者自我怜悯水平与快感缺失及情绪症状间的关系。方法:采用中文版自我怜悯量表(SCS-C)、中文版社会快感缺失量表(RSAS-C)和中文版躯体快感缺失量表(RPAS-C)对53名GAD患者和156名正常者进行评估,GAD患者同时作中文版Beck抑郁自评量表(BDI)和状态-特质焦虑量表(STAI)评估,分析患者自我怜悯水平与快感缺失及焦虑、抑郁症状间的关系。结果:患者组SCS-C总分及其普遍人性和正念因子分均低于正常组,差异具有统计学意义(Z=-3.521,-3.829,-4.343;P均<0.01);患者组RSAS-C分和RPAS-C分均高于对照者,差异具有统计学意义(P均<0.01);SCS-C总分及其各因子分与BDI分(r=-0.549~-0.688,P均<0.01)、STAI分(r=-0.578~-0.710,P均<0.01)呈负相关;患者组SCS-C总分(r=-0.355,P<0.01)及其普遍人性(r=-0.385,P<0.01)和正念因子分(r=-0.343,P<0.05)与RPAS-C分呈负相关,而与RSAS-C分相关性无统计学意义(P>0.05)。以BDI分和STAI分为控制变量的偏相关分析显示,SCS-C总分及其各因子分与RPAS-C分的相关性均不存在统计学意义(P>0.05)。结论:广泛性焦虑障碍患者自我怜悯水平较低,自我怜悯水平越低,其焦虑、抑郁症状和躯体快感缺失越重,提示针对患者自我怜悯进行心理干预的临床意义。更多还原

【Abstract】 Objective:To compare the level of self-compassion between patients with generalized anxiety disorder(GAD)and healthy controls,and explore its relationship between anhedonia and anxiety,depression symptoms.Methods:Fifty-three patients with GAD and 156 healthy subjects were assessed with Chinese Version of Revised SelfCompassion Scale(SCS-C),Chinese Version of Revised Social Anhedonia(RSAS-C)and Chinese Version of Revised Physical Anhedonia(RPAS-C).Meanwhile,the symptoms of patients with GAD were assessed by Chinese Version of Beck Depression Rating Scale(BDI)and State Trait Anxiely Inventory(STAI).Results:The SCS-C total score,the subscores of common humanity and mindfulness in patients with GAD were lower than those of healthy subjects(Z=-3.521,-3.829,-4.343;P<0.01).Compared with the healthy controls,patients with GAD had significantly higher scores of RSAS-C and RPAS-C(P<0.01).Correlation analysis showed that the SCS-C scores were significantly negatively correlated with the scores of BDI(r=-0.549~-0.688,P<0.01)and STAI(r=-0.578~-0.710,P<0.01)in the patients group.The SCS-C total scores and subscores of common humanity and mindfulness were significantly negatively correlated with the scores of RPAS-C(r=-0.343~-0.385,P<0.05),but not significantly correlated with the scores of RSAS-C.After control of the scores of BDI and STAI,there were no significant correlation between the self-compassion and anhedonia.Conclusion:Patients with GAD have self-compassion deficits.The lower the level of self-compassion,the more severe of anxiety depression symptoms and anhedonia deficiency in the patients with GAD.Our results suggest that there is clinical significance of psychological intervention of self-compassion for the patients.更多还原