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艾斯伯格综合征患者的孤独感和生活意义感:一项初步研究。

Feelings of loneliness and meaning in life in subjects with Asperger's syndrome: a pilot study.

机构信息

Department of Interdisciplinary Disability Studies, The Maria Grzegorzewska University in Warsaw, 02-353, Warsaw, Poland.

The Second Department of Psychiatry, Institute of Psychiatry and Neurology in Warsaw, 02-957, Warsaw, Poland.

出版信息

Sci Rep. 2023 Oct 14;13(1):17453. doi: 10.1038/s41598-023-43826-z.

Abstract

Subjects with Asperger's syndrome without intellectual disabilities have significant difficulties in establishing social relationships despite their IQ being within the normal range. One of the effects of social deficit is depression. The question arises whether loneliness and dimensions of meaning in life correlate with the severity of depression and whether the average severity of depression, loneliness and dimensions of meaning in life differentiate the following groups: people with Asperger's syndrome and depression, people with Asperger's syndrome without depression, people with depression without Asperger's syndrome and healthy subjects. The study was conducted on a total of 170 people, including: 43 people with Asperger's syndrome and depression, 41 people with Asperger's syndrome without depression, 40 people with depression without Asperger's syndrome and 46 healthy people (without Asperger's syndrome and without depression). All were administered a demographic survey, Beck Depression Inventory II (BDI-II), De Jong Gierveld Loneliness Scale, Life Attitude Profile-Revised. Asperger's syndrome and depressive episodes were diagnosed on the basis of ICD-10 research criteria still applicable in Poland. In the group with Asperger's syndrome and depression the highest levels of loneliness and the lowest values of the dimensions of the sense of meaning in life, except for the acceptance of death, were observed. This result was significantly different from the results obtained in the other study groups. Both in people with Asperger's syndrome without depression and in people with depression without Asperger's syndrome, the values of the dimensions of the sense of meaning in life and the level of loneliness differ significantly from the results obtained in the control group. The BDI-II scores correlated positively with the loneliness values and negatively with the sense of meaning in life values in all groups. The results indicate that both suffering from depression and having Asperger's syndrome are associated with an increased sense of loneliness and a reduced sense of meaning in life. People with Asperger's syndrome and depression have the highest values of loneliness and the lowest values of dimensions of the sense of meaning of life compared to the other groups studied. The limitation of the work is the deliberate selection of groups, because it would be interesting to answer the question whether Asperger's syndrome is a risk factor for depression in the population.

摘要

患有阿斯伯格综合征且智力正常的患者,尽管智商在正常范围内,但在建立社交关系方面仍存在显著困难。社交缺陷的影响之一是抑郁。由此产生一个问题,即孤独感和生活意义维度是否与抑郁严重程度相关,以及平均抑郁严重程度、孤独感和生活意义维度是否能区分以下人群:患有阿斯伯格综合征和抑郁症的人、患有阿斯伯格综合征但无抑郁症的人、患有抑郁症但无阿斯伯格综合征的人和健康人群。本研究共纳入 170 人,包括:43 名患有阿斯伯格综合征和抑郁症的人、41 名患有阿斯伯格综合征但无抑郁症的人、40 名患有抑郁症但无阿斯伯格综合征的人和 46 名健康人群(无阿斯伯格综合征和无抑郁症)。所有参与者均接受了人口统计学调查、贝克抑郁量表第二版(BDI-II)、德容吉维尔德孤独量表和生活态度问卷修订版的评估。阿斯伯格综合征和抑郁发作的诊断依据的是在波兰仍然适用的 ICD-10 研究标准。在患有阿斯伯格综合征和抑郁症的人群中,孤独感最高,生活意义维度的价值观除了对死亡的接受度外,最低。这一结果与其他研究组的结果显著不同。在既无阿斯伯格综合征也无抑郁症的人群和仅有抑郁症但无阿斯伯格综合征的人群中,生活意义维度的价值观和孤独感水平与对照组有显著差异。BDI-II 评分与所有组的孤独感呈正相关,与生活意义维度呈负相关。研究结果表明,无论是患有抑郁症还是阿斯伯格综合征,都会导致孤独感增加和生活意义感降低。与其他研究组相比,患有阿斯伯格综合征和抑郁症的患者孤独感最高,生活意义维度的价值观最低。本研究的局限性在于人群选择,因为很有趣的一点是,阿斯伯格综合征是否是人群中抑郁的一个风险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b576/10576817/4b3227d9849b/41598_2023_43826_Fig1a_HTML.jpg

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