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[抑郁症患者自杀行为与双相情感障碍特征并存的危险因素评估]

[Evaluation of risk factors coexistence for suicidal behavior with features of bipolarity in patients with depressive disorders].

作者信息

Nowacka Agata

出版信息

Pol Merkur Lekarski. 2014 Aug;37(218):96-8.

Abstract

UNLABELLED

Suicide being a deliberate act of depriving one-self of life is a complex phenomenon, which occurs as a result of the interaction between biological, genetic, psychological, sociological and environmental factors. More and more studies have provided evidence that subthreshold states of BP II (bipolar disorder type II) may increase the risk of suicidal behavior. The aim of the present study was to evaluate relationship of suicidal behavior and bipolarity features according to MDQ (Mood Disorder Questionnaire) and HCL-32 (Hypomania Check List-32) questionnaires in recurrent depressive disorder.

MATERIAL AND METHODS

The study covered 61 subjects with diagnosis of recurrent depression. HDRS (Hamilton Depression Rating Scale), MDQ and HCL-32 rating scales have been employed. Self-developed questionnaires concerning social and personal history as well as risk factors for suicidal behavior have also been used.

RESULTS

In the case of majority of suicidal risk factors no statistically significant coexistence with bipolarity according to MDQ as well as HCL-32 questionnaires was observed. Only such suicide risk factors as making one's last will, psychoactive substances abuse and family history of suicide were statistically more frequent in depressive patients with bipolarity features according to MDQ compared to those depressives without bipolarity.

CONCLUSIONS

The results of present study doesn't allow to prove the usefulness of MDQ and HCL-32 questionnaires in rating suicide risk.

摘要

未标注

自杀作为一种蓄意剥夺自己生命的行为,是一种复杂的现象,它是生物、遗传、心理、社会和环境因素相互作用的结果。越来越多的研究表明,II型双相情感障碍(双相II型障碍)的阈下状态可能会增加自杀行为的风险。本研究的目的是根据心境障碍问卷(MDQ)和轻躁狂检查表-32(HCL-32)问卷,评估复发性抑郁症患者自杀行为与双相情感特征之间的关系。

材料与方法

该研究涵盖了61名被诊断为复发性抑郁症的受试者。采用了汉密尔顿抑郁量表(HDRS)、MDQ和HCL-32评定量表。还使用了自行编制的关于社会和个人史以及自杀行为危险因素的问卷。

结果

在大多数自杀危险因素方面,根据MDQ以及HCL-32问卷,未观察到与双相情感特征有统计学意义的共存情况。与无双相情感特征的抑郁症患者相比,根据MDQ,在有双相情感特征的抑郁症患者中,只有诸如立下遗嘱、滥用精神活性物质和自杀家族史等自杀危险因素在统计学上更为常见。

结论

本研究结果无法证明MDQ和HCL-32问卷在评估自杀风险方面的有效性。

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