Investigation of suicide attitudes and its relationship with illness conditions and coping styles in patients with depression combined with anxiety disorder
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摘要: 目的 调查抑郁症合并焦虑症患者的自杀态度,并探讨其与病情、应对方式的临床关系。 方法 选取2015年6月—2018年6月上海市宝山区精神卫生中心收治的1 000例抑郁症合并焦虑症患者为合并组,另单纯抑郁症、单纯焦虑症患者各600例,为抑郁组和焦虑组。采用自杀态度调查问卷(QSA)、简易应对方式问卷(SCSQ)、抑郁自评量表(SDS)、焦虑自评量表(SAS)对患者进行调查。对比3组自杀态度、病情、应对方式得分,分析合并组自杀态度与病情、应对方式的相关性。 结果 合并组各维度自杀态度调查评分[(19.43±2.01)分、(20.07±2.11)分、(11.06±2.01)分、(11.01±1.85)分]、积极应对评分[(17.12±2.07)分],均明显低于抑郁组和焦虑组(均P<0.05);合并组SDS[(65.85±3.95)分]和SAS[(65.38±3.37)分]评分均高于抑郁组和焦虑组(均P<0.05),合并组消极应对评分[(13.56±1.50)分]高于抑郁组和焦虑组(均P<0.05);合并组中F1、F2、F3和F维度自杀态度与SDS、SAS、消极应对均存在负相关性(均P<0.05),而上述维度自杀态度与积极应对均存在正相关性(均P<0.05)。 结论 抑郁症合并焦虑症患者对自杀行为性质的认识、对自杀者的态度、对自杀者家属的态度、对安乐死的态度排斥不明显,且与病情、应对方式呈明显相关性。Abstract: Objective To investigate the suicide attitudes in patients with depression combined with anxiety disorder, and to explore the relationship with illness conditions and coping styles. Methods One thousand depressive patients with depression combined with anxiety disorder from June 2015 to June 2018 were selected as the combination group. In addition, 600 patients with depression and 600 patients with anxiety were selected as depression group and anxiety group. All the patients were investigated with QSA, SCSQ, SDS and SAS. The scores of suicide attitudes, illness conditions and coping styles among the 3 groups were compared. Pearson correlation analysis was used to explore the correlation between suicide attitudes, illness conditions and coping styles in the combination group. Results The scores of suicide attitudes and positive coping in the combination group (19.43±2.01, 20.07±2.11, 11.06±2.01, 11.01±1.85, 17.12±2.07)were significantly lower than those in the depression group and the anxiety group (all P<0.05). The SDS (65.85±3.95) and SAS (65.38±3.37) in the combination group were lower than those in the depression group and the anxiety group (all P<0.05). The negative coping score (13.56±1.50) in the combination group was higher than those in the depression group and the anxiety group (all P<0.05). There were negative correlations between suicidal attitudes in F1, F2, F3 and F dimensions with SDS, SAS and negative coping (all P<0.05). There were positive correlations between the above dimensions of suicide attitudes and positive coping (all P<0.05). Conclusion Understanding of suicidal behavior, attitude toward suicide, attitude toward suicide family members, and attitude rejection toward euthanasia of depressive patients with anxiety disorder are not obvious, which are significantly correlated with illness conditions and coping styles.
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Key words:
- Depression disorder /
- Anxiety disorder /
- Suicide attitudes /
- Illness conditions /
- Coping styles
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