【摘要】 目的:探讨生活应激事件与家庭教养方式对女性抑郁症患者人格特征神经质倾向的影响。方法:采用顺序入组方式,由经过专门培训的访谈员使用电脑评估系统进行一对一访谈,入组南京医科大学附属脑科医院住院及门诊精神科或心理科确诊的女性复发性抑郁症患者。主要采用艾森克神经质量表、生活应激事件量表、父母亲情关系量表(parental bonding instrument,PBI)及一般情况调查表进行访谈,同时与正常女性作对照。结果:共访谈女性复发性抑郁症患者193例,正常女性对照571名。抑郁症组神经质维度评分为(11.21±6.08),对照组评分(2.04±2.95),协方差分析(控制年龄与婚姻)结果显示,组间差异有统计学意义(P<0.05);抑郁症组在生活应激事件、PBI照料维度/母亲、PBI控制维度/母亲、PBI照料维度/父亲、PBI控制维度/父亲5个维度得分均高于对照组,差异有统计学意义(P<0.05)。多元逐步回归分析结果显示,生活应激事件、PBI照料维度/父亲及PBI控制维度/父亲(β值分别为0.342,0.144,0.111)三者进入回归方程,且均可预测神经质倾向(P<0.01)。其中生活应激事件对神经质倾向的预测作用大于PBI照料维度/父亲及PBI控制维度/父亲两个维度。结论:女性抑郁症患者神经质人格特质与父母不良教养方式及个体经历的不良生活应激事件有关联。更多还原

【Abstract】 Objective: To explore the impact of life stress events and family rearing patterns on personality trait of female patients with depression. Method:Females with depression disorder from affiliated brain hospital of nanjing medical university were chosen and compared with normal controls.All subjects were interviewed by specially trained interviewers using computer evaluation system and assessed using Eysenck neuroticism questionnaire(EPQ),stressful life evevts, parental bonding instrument. Results:A total of 193 females with depression disorder and 571 normal females were recruited in this study. Covariance analysis indicated that the depressive group had higher EPQ neuroticism score than the control group, and the difference between the groups was statistically significant (11.21±6.08 vs. 2.04±2.95, P<0.05). The depressive group showed higher score on life stress events, the PBI-care/mother, the PBI-control/mother, the PBI-care/father, the PBI-control/father than the control group, and the difference was statistically significant (P<0.05 ).Stepwise multiple regression analysis results showed that life stress events, father care dimensionality and father control dimensionality in parental bonding instrument(PBI)(β=0.342,0.144,0.111)can predict neuroticism scores (P<0.05).Life stress events was better predictor of neuroticism than the father care dimensionality and the father control dimensionality in PBI. Conclusion:Neuroticism in female depressive patients is associated the parental rearing patterns and adverse life stress events.更多还原