The interaction of automatic thinking in female patients with first-episode depressive disorders
- VernacularTitle:自动思维在首发女性抑郁症患者发病中的交互作用
- Author:
Zhirong YANG
1
;
Xiaodong LUO
;
Weiping WANG
Author Information
1. 浙江省金华市第二医院二病区
- Keywords:
Stress;
Depression;
Personality;
Coping;
Automatic thinking;
Dysfunctional attitude
- From:
China Modern Doctor
2014;(27):11-14
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the interaciton of automatic thoughts and stress factors related depression in fe-male patients with first-episode depressive disorder. Methods The 60 female patients with first-episode depression were enrolled and assessed by Hamilton Depression Rating Scale(HAMD),Hamilton anxiety scale(HAMA),Automatic thought questionnaire (ATQ), Dysfunctional attitude scale (DAS),ways of coping, the social support scale and Y-G Personality Questionnaire. Spearman correlation analysis and path analysis were used to analyse the interaciton of auto-matic thoughts and stress factors related depression. Results ①Automatic thoughts, depression,anxiety and dysfunc-tional cognition were positively correlated each other. Automatic thoughts and vulnerability, attraction and repulsion ,perfection and autonomy attitude were positively correlated (P<0.05 or P<0.01). ②Automatic thinking and feeling of inferiority, nervosity, lack of objectivity and non cooperative were positively correlated,while dominant, social in-side and outside were negatively correlated. The differences were statistically significant(P<0.05 or P< 0.01). ③Au-tomatic thoughts and blame, rationalization were positively correlated, while automatic thoughts, total score of social support and subjective support were negatively correlated. ④Path analysis showed that automatic thoughts predicted depression directly; nervosity, the perfection, blame, anxiety predicted depression indirectly through the automatic thoughts; subjective support acted on automatic thinking as negatively predicator, and predicted depression indirectly through the automatic thoughts (P<0.05 or P<0.01). Conclusion Interaction existed among automatic thoughts and stress factors of depression related. When making the psychological treatment of depression,we should be considered these factors.
