| 董曼,张敬悬.伴或不伴精神病性症状对抑郁症患者自杀意念 危险与绝望感的对照研究[J].济宁医学院学报,2017,40(2):114-117,121 |
| 伴或不伴精神病性症状对抑郁症患者自杀意念 危险与绝望感的对照研究 |
| A case-control study of suicidal ideation, risk and hopelessness in depressive patients with or without the psychotic symtom |
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| DOI：10.3969/j.issn.1000-9760.2017.02.009 |
| 中文关键词: 抑郁症;精神病性症状;自杀意念;自杀危险;绝望感 |
| 英文关键词: Depressive disorder;Psychotic symptoms;Suicide ideation;Suicide risk;Hopelessness |
| 基金项目: |
| 作者 | 单位 | | 董曼 | 济宁医学院精神卫生学院, 济宁 272067
山东省精神卫生中心, 济南 250000 | | 张敬悬 | 济宁医学院精神卫生学院, 济宁 272067
山东省精神卫生中心, 济南 250000 |
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| 中文摘要: |
| 目的 观察伴或不伴精神病性症状抑郁症患者的自杀意念、自杀危险和绝望感的不同，并分析伴有精神病性症状对抑郁症患者自杀意念、危险与绝望感的影响。方法 纳入195例抑郁障碍患者，其中74例伴精神病性症状抑郁症患者为研究组，121例不伴精神病性症状抑郁症患者为对照组。在住院期间对抑郁症患者进行一般资料情况收集与Beck自杀意念量表（BSI-CV）、Beck绝望量表（BHS）、临床疗效总评量表（CGI）评定。结果 研究组自杀意念、自杀危险和绝望感评分高于对照组；研究组自杀意念、自杀危险与绝望感之间相关性高于对照组，差异均有统计学意义（P<0.05）。结论 伴精神病性症状的抑郁症患者自杀意念、自杀危险、绝望感较高；其绝望感更能预测自杀行为。 |
| 英文摘要: |
| Objective To observe the different time of suicide ideation, suicide risk and hopelessness in depressed patients with or without psychotic symptoms and explore the effects of with psychotic symptoms on suicidal ideation, risk and hopelessness in patients with depression. Methods Of the 195 patients with depression, 74 patients with psychotic symptoms of depression were the study group, and 121 cases of non-psychotic symptoms of depression patients were the control group. General information, BSI-CV, BHS, and CGI were assessed during hospitalization. Results Scores of suicide ideation, suicide risk and hopelessness were higher in the patients with depression than those without psychotic symptoms. The correlation coefficient between suicide ideation, suicide risk and hopelessness was higher in the patients with depression than those without psychotic symptoms, and the differences were significant(P<0.05). Conclusion Suicide ideation, suicide risk and hopelessness are higher in depressive patients with psychotic symptoms, and the hopelessness is more predictable for the death. |
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