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抑郁症中心境气质与韧性的关系:一项对照研究。

The relation between affective temperament and resilience in depression: a controlled study.

机构信息

Erenköy Psychiatry Education and Research Hospital, Turkey.

出版信息

J Affect Disord. 2013 Jun;148(2-3):352-6. doi: 10.1016/j.jad.2012.12.023. Epub 2013 Jan 26.

Abstract

BACKGROUND

The aim of this study was to investigate the presence of a relationship between affective temperament and resilience in patients with major depressive disorder (MDD) diagnosis, and to examine whether this relationship, if present, differs from healthy individuals.

METHODS

In line with this purpose, 100 cases with major depressive disorder diagnosis who were in their remission period were evaluated consecutively in their regular outpatient control interviews. The control group consisted of 100 healthy individuals without any history of psychiatric admission and treatment, matched with the depressive group in terms of age and sex. Diagnostic interviews were conducted with SCID-I, affective temperament and resilience were evaluated with TEMPS-A (Evaluation of Temperament Memphis, Pisa, Paris and San Diego-Auto questionnaire) and The Resilience Scale for Adults (RSA)-Turkish version, respectively.

RESULTS

We observed a strong relationship between resilience and hyperthymic temperament both in depressive and healthy individuals. There was an inverse relation between psychological resilience and irritable and anxious temperament in both groups. A negative correlation was observed between irritable temperament and family cohesion in depressive disorder group, while in healthy individuals a strong correlation was observed between family cohesion and depressive and anxious temperament, and a weak correlation between family cohesion and hyperthymic temperament.

LIMITATIONS

The measurements of temperament and resilience were estimated depending on the patient's statement.

CONCLUSION

There is a strong relationship between hyperthymic temperament and psychological resilience in MDD. The relationship between the type of affective temperament and the family cohesion sub-dimension of psychological resilience differs from that of healthy individuals.

摘要

背景

本研究旨在探讨情感气质与重性抑郁障碍(MDD)患者的韧性之间是否存在关系,并观察这种关系是否与健康个体存在差异。

方法

为达到这一目的,我们连续对 100 例处于缓解期的 MDD 患者进行常规门诊随访评估。对照组由 100 名无精神科住院和治疗史的健康个体组成,与抑郁组在年龄和性别上相匹配。采用 SCID-I 进行诊断访谈,使用 TEMPS-A(孟菲斯、比萨、巴黎和圣地亚哥自动评估情感气质问卷)和成人韧性量表(RSA)-土耳其语版本评估情感气质和韧性。

结果

我们观察到在抑郁患者和健康个体中,韧性与欣快气质之间存在很强的关系。在两组中,心理韧性与易激惹和焦虑气质呈负相关。在抑郁障碍组中,易激惹气质与家庭凝聚力呈负相关,而在健康个体中,家庭凝聚力与抑郁和焦虑气质呈强相关,与欣快气质呈弱相关。

局限性

气质和韧性的测量取决于患者的自述。

结论

在 MDD 中,欣快气质与心理韧性之间存在很强的关系。情感气质类型与心理韧性的家庭凝聚力子维度之间的关系与健康个体不同。

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