【作者】 邹韶红；

【导师】 党海红；

【作者基本信息】 新疆医科大学 ， 精神病与精神卫生学， 2004， 硕士

【摘要】 目的:研究家庭暴力与抑郁症自杀的关系,为抑郁症自杀的干预提供理论依据。方法:采用自行设计的家庭暴力调查表、汉密尔顿抑郁量表(HAMD)、社会支持评定量表(SSRS)、特质应对方式问卷(TCSQ)和艾森克人格问卷(EPQ),对72例符合中国精神疾病分类方案与诊断标准第3版诊断标准的抑郁症患者(有家庭暴力组38例,无家庭暴力组34例)进行评定和比较,将自杀程度分为轻度(偶尔有自杀想法)、中度(频繁有自杀想法)和重度(自杀未遂)。结果:(1)家庭暴力与频繁有自杀想法(比值比OR=11.333,X~2=9.528,P=0.006)和自杀未遂(OR=16.800,X~2=11.386,P=0.001)存在关联,且OR值随自杀程度的升高而增大;不同性别比较,家庭暴力与女性频繁自杀想法和自杀未遂均存在关联(OR分别=15.000,和9.000;X~2分别=8.224,和5.490;P<0.05),仅与男性自杀未遂存在关联(OR=7.000,X~2=6.429,P<0.05)。(2)有家庭暴力组的总社会支持分[(35.32±9.51)分]低于无家庭暴力组[(39.62±6.74)分,t=2.19,P<0.05];消极应对评分(t=-2.56)和EPQ的神经质(t=-2.64)、精神质评分(t=2.10)均高于无家庭暴力组(均P<0.05)。(3)有家庭暴力组男性的主观支持分(t=-2.42)、总社会支持分(t=-2.17)低于无家庭暴力组(均P<0.05),消极应对分[(34.94±4.74)分]高于无家庭暴力组[(30.07±6.47)分,t=-2.19,P<0.05];有家庭暴力组女性的支持利用度分[(6.13±2.03)分]低于无家庭暴力组[(8.10±1.99)分,t=3.15,P<0.05],EPQ的神经质评分[(64.17±7.40)分]高于无家庭暴力组[(56.5±10.26)分,t=-2.79,P<0.05]。结论:家庭暴力与抑郁症自杀呈明新祖医科大学医学硕钊七学位论文显关联,并且自杀程度越重,关联越明显,且存在性别差异;患者的社会支持、应对方式和个性等社会心理因素对此关联有一定影响。为受虐者提供家庭治疗、早期干预及应对技巧、社会支持尤为重要。关键词家庭暴力;抑郁症;自杀;社会支持;个性更多还原

【Abstract】 Objective: To explore the association between domestic violence (DV) and suicide with depression, and to provide foundation for intervention of suicide with depression. Methods: 38 depressed patients with DV were compared with 34 ones with no-DV by the assessment of the self-compiled scale of DV, the Hamilton Depression Scale, the Social Supporting Rating Scale, the Eysenck Personality Questionnaire( EPQ) and the Trait Coping Style Questionnaire, suiside degree (light degree :poradic suicidal idea, middle degree: frequent suicidal idea, serious degree: suiside abortion). Results: (1)There was distinctive association between DV and frequent suicidal idea and suicide abortion: The odds ratio (ORs) of frequent suicidal idea comparing with no suicide was 11.333 (x2=9.528, P=0.006) . The ORs of suicide abortion comparing with no suicide was 16.800 (x2=11.386, P=0.001). There was significant association between DV and frequent suicidal idea, suicide abortion in female patients (ORs=15.000, 9.000; x2=8.224, 5.490; respectively, P<0.05), and only suicide abortion in male patients ( ORs=7.000, x2=2.872, P<0.05 ) . (2) The group with DV got significantly lower scores of total social supporting (t=2.19, P<0.05), but higher scores of negative coping, EPQ-N, EPQ-P, than the group with no-DV did (t=-2.64, -2.10, -2.56, respectively, P<0.05). (3) The male group with DV got significantly lower scores of subjective supporting andtotal social supporting , than the male group with no-DV did (t=2.42, 2.17, respectively, P<0.05). but higher scores of negative coping than the male group with no-DV did (t=2.19, P<0.05). The female group with DV got significantly higher scores of EPQ-N than the female group with no-DV did (t=-2.79, P<0.05), but lower scores of used supporting degree than the female group with no-DV did (t=3.15, P<0.05). Conclusion: There was significant association between domestic violence and suicide with depression. The more suicide degree was, the more association was seen. Social supporting, coping styles or personality, etc, were also possibly the influence factors of suicide with depression. It is important to provide domestic therapy, advanced intervention, coping skill and social supporting for abused patients.更多还原