抑郁症患者注意偏向与躯体症状的关系
|
摘要
目的:探讨抑郁症患者注意偏向与躯体症状的关系。方法:对55例抑郁症患者(抑郁组)和60名健康志愿者(对照组)进行汉密尔顿抑郁量表(HAMD-24)、躯体化症状自评量表-躯体化因子(SSS-S)、中文版神经症被束缚自评量表(SSTN)评估;应用点探测任务测试注意偏向;分析注意偏向与躯体症状关系。结果:抑郁组负性注意偏向分和负性脱离指数显著> 0(t=3. 15,t=2. 78; P均<0. 01);抑郁组负性注意偏向分与SSTN评分和负性脱离指数呈正相关(r=0. 29,r=0. 53; P均<0. 05);SSTN评分与HAMD和SSS-S评分呈正相关(r=0. 34,r=0. 38; P均<0. 05)。结论:抑郁症患者有明显负性注意偏向,其与抑郁、躯体不适症状无直接相关,可能是通过被束缚状态的中间机制影响症状。
Objective: To investigate the relationship between attentional bias and somatic symptoms in patients with depression. Method: Fifty-five patients with depression( depression group) and sixty healthy volunteers( control group) were assessed by Hamilton depression scale( HAMD-24),somatization symptoms self-assessment scale-somatization factor( SSS-S) and Chinese version of self-rating scale for the TORAWARE State of neurosis( SSTN); and attentional bias was tested through dot probe tasks. The relationship between the attentional bias and somatic symptoms was analyzed. Results: In the depression group,negative attentional bias score and negative disengaging index scores were both greater than 0( t = 3. 15,t = 2. 78,all P < 0. 01); the negative attentional bias score was positively correlated with SSTN score and negative disengaging index score( r = 0. 29,r = 0. 53; all P < 0. 05). SSTN score was positively correlated with the total scores of HAMD and SSS-S( r = 0. 34,r = 0. 38; all P < 0. 05). Conclusion: Depressed patients have obvious negative attentional bias,which is not directly related to depression and somatic discomfort. It may be through the intermediate mechanism of TORAWARE State to influence somatic symptoms.
Objective: To investigate the relationship between attentional bias and somatic symptoms in patients with depression. Method: Fifty-five patients with depression( depression group) and sixty healthy volunteers( control group) were assessed by Hamilton depression scale( HAMD-24),somatization symptoms self-assessment scale-somatization factor( SSS-S) and Chinese version of self-rating scale for the TORAWARE State of neurosis( SSTN); and attentional bias was tested through dot probe tasks. The relationship between the attentional bias and somatic symptoms was analyzed. Results: In the depression group,negative attentional bias score and negative disengaging index scores were both greater than 0( t = 3. 15,t = 2. 78,all P < 0. 01); the negative attentional bias score was positively correlated with SSTN score and negative disengaging index score( r = 0. 29,r = 0. 53; all P < 0. 05). SSTN score was positively correlated with the total scores of HAMD and SSS-S( r = 0. 34,r = 0. 38; all P < 0. 05). Conclusion: Depressed patients have obvious negative attentional bias,which is not directly related to depression and somatic discomfort. It may be through the intermediate mechanism of TORAWARE State to influence somatic symptoms.
引文
[1] Klein DN. Chronic depression:Diagnosis and classification[J].Current Directions Psychological Sciene,2010,19(19):96-100.
[2] Greenberg PE,Leong SA,Birnbaum HG,et al. The eco-nomic burden of depression with painful symptoms[J]. J Clin Psychiatry,2003,64(Suppl 7):S17-23.
[3]杨程甲,许明智.抑郁症患者述情障碍与功能性躯体不适的关系[J].广东医学,2015,36(1):16-19.
[4]曹锦亚,魏镜.对医学难以解释的躯体症状的现象学理解[J].医学与哲学,2015,36(22):70-71.
[5] Beevers CG,Lee HJ,Wells TT,et al. Association of predeployment gaze bias for emotion stimuli with later symptoms of PTSD and depression in soldiers deployed in Iraq[J]. American J Psychiatry,2011,168(7):735-741.
[6] Wang SC. Analysis of efficacy and safety of modified Morita therapy combined with drug in treatment of depression[J]. Contemporary Medicine,2017,23(3):137-139.
[7]中村敬,施旺红,李江波,等.抑郁症的森田疗法[M].西安:第四军医大学出版社,2015:35-36.
[8]庄琦,毛家亮,李春波,等.躯体化症状自评量表的初步编制及信度和效度研究[J].中华行为医学与脑科学杂志,2010,19(9):847-849.
[9]李江波,黄举坤,久保田幹子,等.神経症とらわれ自己評価スケールの有用性[J].日本森田療法学会雑誌,2003,14(2):167-177.
[10]李江波,刘培培,戎伟,等.中文版神经症被束缚自评量表的信度、效度[J].中国健康心理学杂志,2016,24(6):897-900.
[11] Salemink E,Ma VDH,Kindt M. Selective attention and threat:quick orienting versus slow disengagement and two versions of the dot probe task[J]. Behav Res Ther,2007,45(3):607-615.
[12]乐洪波,马树华,程晓玲,等.重度抑郁症对负性情绪面孔的注意偏向[J].中国心理卫生杂志,2009,23(11):795-799.
[13]姜庆伟,费惠慧,高存友,等.首发抑郁症患者情绪面孔反应时间及注意偏向研究[J].中华行为医学与脑科学杂志,2017,26(8):699-703.
[14] Mccabe SB,Gotlib IH,Martin RA. Cognitive vulnerability for depression:Deployment of attention as a function of history of depression and current mood state[J]. Cognitive Therapy Research,2000,24(4):427-444.
[15] Saskia Baert,Rudi De Raedt,Ernst HW Koster. Depression-related attentional bias:The influence of symptom severity and symptom specificity[J]. Cognition Emotion,2010,24(6):1044-1052.
[16] Disner SG,Shumake JD,Beevers CG. Self-referential schemas and attentional bias predict severity and naturalistic course of depression symptoms[J]. Cogn Emot,2017,31(4):632-644.
[17]北西憲二:森田療法再考[J].精神医学,1990,32(7):695-701.
[18]李江波,黄挙坤,久保田,等.神経症のとらわれの精神病理に関する検討[J].日本森田療法学会雑誌,2001,12(2):137-142.
[19]朱熊兆,钟明天,蚁金瑶,等.临床抑郁症患者的注意偏倚特征[J].中国临床心理学杂志,2008,16(3):234-236.
[2] Greenberg PE,Leong SA,Birnbaum HG,et al. The eco-nomic burden of depression with painful symptoms[J]. J Clin Psychiatry,2003,64(Suppl 7):S17-23.
[3]杨程甲,许明智.抑郁症患者述情障碍与功能性躯体不适的关系[J].广东医学,2015,36(1):16-19.
[4]曹锦亚,魏镜.对医学难以解释的躯体症状的现象学理解[J].医学与哲学,2015,36(22):70-71.
[5] Beevers CG,Lee HJ,Wells TT,et al. Association of predeployment gaze bias for emotion stimuli with later symptoms of PTSD and depression in soldiers deployed in Iraq[J]. American J Psychiatry,2011,168(7):735-741.
[6] Wang SC. Analysis of efficacy and safety of modified Morita therapy combined with drug in treatment of depression[J]. Contemporary Medicine,2017,23(3):137-139.
[7]中村敬,施旺红,李江波,等.抑郁症的森田疗法[M].西安:第四军医大学出版社,2015:35-36.
[8]庄琦,毛家亮,李春波,等.躯体化症状自评量表的初步编制及信度和效度研究[J].中华行为医学与脑科学杂志,2010,19(9):847-849.
[9]李江波,黄举坤,久保田幹子,等.神経症とらわれ自己評価スケールの有用性[J].日本森田療法学会雑誌,2003,14(2):167-177.
[10]李江波,刘培培,戎伟,等.中文版神经症被束缚自评量表的信度、效度[J].中国健康心理学杂志,2016,24(6):897-900.
[11] Salemink E,Ma VDH,Kindt M. Selective attention and threat:quick orienting versus slow disengagement and two versions of the dot probe task[J]. Behav Res Ther,2007,45(3):607-615.
[12]乐洪波,马树华,程晓玲,等.重度抑郁症对负性情绪面孔的注意偏向[J].中国心理卫生杂志,2009,23(11):795-799.
[13]姜庆伟,费惠慧,高存友,等.首发抑郁症患者情绪面孔反应时间及注意偏向研究[J].中华行为医学与脑科学杂志,2017,26(8):699-703.
[14] Mccabe SB,Gotlib IH,Martin RA. Cognitive vulnerability for depression:Deployment of attention as a function of history of depression and current mood state[J]. Cognitive Therapy Research,2000,24(4):427-444.
[15] Saskia Baert,Rudi De Raedt,Ernst HW Koster. Depression-related attentional bias:The influence of symptom severity and symptom specificity[J]. Cognition Emotion,2010,24(6):1044-1052.
[16] Disner SG,Shumake JD,Beevers CG. Self-referential schemas and attentional bias predict severity and naturalistic course of depression symptoms[J]. Cogn Emot,2017,31(4):632-644.
[17]北西憲二:森田療法再考[J].精神医学,1990,32(7):695-701.
[18]李江波,黄挙坤,久保田,等.神経症のとらわれの精神病理に関する検討[J].日本森田療法学会雑誌,2001,12(2):137-142.
[19]朱熊兆,钟明天,蚁金瑶,等.临床抑郁症患者的注意偏倚特征[J].中国临床心理学杂志,2008,16(3):234-236.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |