【摘要】 目的:探讨单相与双相抑郁症患者在童年虐待经历、认知偏差、认知情绪调节方面的差别。方法:采用认知情绪调节问卷中文版(CERQ-C)、Beck抑郁自评量表(BDI)、功能失调性认知态度问卷(DAS)、儿童期受虐经历问卷(CTQ-SF)对83例发作期双相抑郁障碍患者、76例发作期单相抑郁患者进行评定。结果:双相抑郁组CTQ-SF总分[(41. 34±5. 92) vs.(38. 28±7. 90)]及躯体虐待[(6. 81±1. 93) vs.(6. 08±1. 80)]、性虐待因子[(6. 35±1. 49) vs.(5. 42±0. 94)]分均显著高于单相抑郁组,差异具有统计学意义(t值依次为2. 78、2. 45、4. 66; P <0. 05或P <0. 01)。双相抑郁组DAS强制性因子[(22. 12±3. 55) vs.(20. 82±4. 51)]、依赖性因子[(22. 43±5. 20) vs.(19. 87±5. 18)]、自主性态度因子分[(24. 63±7. 24) vs.(22. 41±5. 95)]及CERQ-C自我责难[(14. 24±2. 47) vs(13. 43±2. 42)]、接受因子分[(13. 98±3. 66) vs (12. 82±2. 94)]显著高于单相抑郁组,而认知哲学因子分[(16. 47±5. 42)vs.(18. 45±4. 00)]低于单相抑郁组,差异具有统计学意义(t值依次为2. 04、3. 11、2. 10、-2. 60,P <0. 05或P <0. 01)。结论:双相抑郁较单相抑郁症患者可能具有更多的童年虐待经历,更为严重的功能失调性认知态度与认知情绪调节问题。更多还原

【Abstract】 Objective: To explore the differences of the childhood maltreatment experiences,dysfunctional attitudes,and cognitive emotion regulation strategies between bipolar and unipolar depression. Method: A total of 83 bipolar depression and 76 unipolar depressive patients episode were assessed with the Chinese version of cognitive emotion regulation questionnaire(CERQ-C),Beck depression inventory(BDI) and dysfunctional attitudes scales(DAS) and the childhood trauma questionnaire(CTQ-SF). Results: The bipolar depression group/s total score of CTQ-SF [(41. 34 ± 5. 92) vs.(38. 28 ± 7. 90) ] and physical abuse [(6. 81 ± 1. 93) vs.(6. 08 ± 1. 80) ],sexual abuse factor scores [(6. 35 ± 1. 49) vs(5. 42 ± 0. 94) ]were higher than that of the unipolar depression group,and the difference was statistically significant(t = 2. 78,2. 45,4. 66; P < 0. 05 or P <0. 01). Compared with the unipolar depression group,the bipolar depression group had significantly higher scores in DAS agents of compulsion[(22. 12 ± 3. 55) vs.(20. 82 ± 4. 51) ],dependence[(22. 43 ± 5. 20) vs.(19. 87 ± 5. 18) ]and autonomy attitudes[(24. 63 ± 7. 24) vs.(22. 41 ± 5. 95) ],while had lower cognition philosophy agent score[(16. 47 ± 5. 42) vs.(18. 45 ± 4. 00) ],and had significantly higher scores in agents of self-blame[(14. 24 ± 2. 47) vs(13. 43 ± 2. 42) ],adoption [(13. 98 ± 3. 66) vs(12. 82 ± 2. 94) ] of CERQ-C(t = 2. 04,3. 11,2. 10,-2. 60; P < 0. 05 or P < 0. 01). Conclusion: The bipolar depression may suffere from more childhood maltreatment experiences,more severe dysfunctional cognitive attitudes and more severe cognitive emotion regulation problems.更多还原