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抑郁症患者的自杀风险与痛苦容忍度和心理韧性的关系

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目的:探讨抑郁症患者自杀风险与痛苦容忍度和心理韧性的关系。方法:选取130例符合精神障碍诊断与统计手册第5版(DSM-5)诊断标准的抑郁症患者,采用简明国际神经精神访谈(MINI)中文版自杀模块评估自杀风险,并根据访谈结果分为自杀风险组(98例)和非自杀风险组(32例)。采用汉密顿抑郁量表(HAMD)、痛苦忍受性量表(DTS)和Connor-Davidson心理韧性量表简版(CD-RISC-10)分别评估患者抑郁病情严重程度、痛苦容忍度和心理韧性。结果:DTS总分与CD-RISC-10总分呈正相关(r=0。50,P<0。01),MINI自杀模块总分与DTS总分和CD-RISC-10总分呈负相关(r=-0。34、-0。34,均P<0。01)。痛苦容忍度对自杀风险有直接效应(β=-0。26,P<0。05),心理韧性在痛苦容忍度与自杀风险间有中介效应(β=-0。13,P<0。05),中介效应占总效应的33。5%。结论:痛苦容忍度水平越低的抑郁症患者自杀风险可能越高,心理韧性可能在痛苦容忍度与自杀风险间发挥部分中介效应。
Relation of suicide risk to distress tolerance and resilience in patients with depression
Objective:To explore the relationship among suicide risk,distress tolerance,and resilience in pa-tients with depression.Methods:A total of 130 patients with depression who met the Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition(DSM-5)diagnostic criteria were included.The Chinese version of the Mini International Neuropsychiatric Interview(MINI)suicide module was used to assess suicide risk.According to the interview results,the patients with depression were divided into suicide risk group(98 cases)and non-suicide risk group(32 cases).The Hamilton Depression Rating Scale(HAMD),Distress Tolerance Scale(DTS),10-item Connor-Davidson Resilience Scale(CD-RISC-10)were used to assess severity of depressive symptoms,level of distress tolerance and resilience,respectively.Results:The DTS total scores were positively correlated with the CD-RISC-10 total scores(r=0.50,P<0.01).The total scores of MINI suicide module were negatively correlated with the total scores of DTS and CD-RISC-10(r=-0.34,-0.34,Ps<0.01).Distress tolerance had a direct effect on suicide risk(β=-0.26,P<0.05),and resilience played a mediating effect on the relationship between distress tolerance and suicide risk(β=-0.13,P<0.05),and the mediating effect accounted for 33.5%of the total effect.Conclusion:Patients with depression with lower levels of distress tolerance may have higher suicide risk,and resilience may play a partially mediating role in the relationship between distress tolerance and suicide risk.

depressiondistress tolerancesuicide riskresiliencemediating effect

钟菁、黄小捷、王雪梅、许明智

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南方医科大学公共卫生学院,广州 510515

广东省精神卫生中心,南方医科大学附属广东省人民医院(广东省医学科学院),广州 510180

广东省中医院,广州中医药大学附属第二医院,广州 510120

抑郁症 痛苦容忍度 自杀风险 心理韧性 中介效应

广东省省级科技计划

2017A020115095

2024

中国心理卫生杂志
中国心理卫生协会

中国心理卫生杂志

CSTPCDCHSSCD北大核心
影响因子:2.088
ISSN:1000-6729
年,卷(期):2024.38(5)
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