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抑郁症和焦虑症患者复原力的潜在剖面分析及其与心理因素的关联

Latent Profile Analysis of Resilience and Its Association With Psychological Factors in Patients Diagnosed With Depression and Anxiety Disorders.

作者信息

Lee Mi-Sun, Huh Hyu Jung, Chae Jeong-Ho

机构信息

Faculty of Psychology, University of Warsaw, Warsaw, Poland.

Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

出版信息

Psychiatry Investig. 2025 Aug;22(8):949-959. doi: 10.30773/pi.2025.0018. Epub 2025 Aug 7.

Abstract

OBJECTIVE

This study aimed to classify the level of resilience among outpatients and investigate the relationship of resilience with depression, state anxiety, and psychological factors.

METHODS

A total of 1,498 outpatients were recruited from a university hospital in Korea. The latent profile analysis of the resilience factor was identified using the R-based Jamovi 2.3.24 software. One-way analysis of variance was used to compare the differences between depression, state anxiety, and psychological factors; Scheffe's test was used to conduct multiple comparisons.

RESULTS

Three latent profiles were identified, including the high level of resilience (Class 1, 19.7%), the moderate level of resilience (Class 2, 47.9%), and the low level of resilience (Class 3, 32.4%). Depression and state anxiety were higher in Class 3 than Class 1 and 2. In analyzing Class 1, individuals with depressive and anxiety symptoms scored higher on anger rumination compared with those without symptoms, but there were no differences in cognitive emotion regulation. Childhood emotional neglect was higher for individuals with depressive symptoms compared to those without symptoms in Class 1.

CONCLUSION

This study provides an in-depth understanding of resilience and insights into the association between resilience, depression, anxiety, and psychological factors. It is necessary to provide sufficient support and interventions to regulate anger rumination and emotional factors among outpatients in Class 1 with depression and state anxiety symptoms.

摘要

目的

本研究旨在对门诊患者的心理韧性水平进行分类,并探讨心理韧性与抑郁、状态焦虑及心理因素之间的关系。

方法

从韩国一家大学医院招募了1498名门诊患者。使用基于R的Jamovi 2.3.24软件对心理韧性因素进行潜在剖面分析。采用单因素方差分析比较抑郁、状态焦虑和心理因素之间的差异;使用谢费检验进行多重比较。

结果

确定了三种潜在剖面,包括高心理韧性水平(第1组,19.7%)、中度心理韧性水平(第2组,47.9%)和低心理韧性水平(第3组,32.4%)。第3组的抑郁和状态焦虑水平高于第1组和第2组。在分析第1组时,有抑郁和焦虑症状的个体在愤怒反刍方面的得分高于无症状个体,但在认知情绪调节方面没有差异。在第1组中,有抑郁症状的个体的童年情感忽视程度高于无症状个体。

结论

本研究深入了解了心理韧性,并洞察了心理韧性、抑郁、焦虑和心理因素之间的关联。有必要为有抑郁和状态焦虑症状的第1组门诊患者提供足够的支持和干预,以调节愤怒反刍和情绪因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beae/12370433/d3158ce2fc3b/pi-2025-0018f1.jpg

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