Mediating effect of self-evaluation of depressive symptoms on automatic thinking and psychosocial function of patients with depression in remission
10.3760/cma.j.issn.1674-6554.2018.12.007
- VernacularTitle:临床治愈抑郁症患者症状自评在负性自动思维与心理社会功能间的中介作用
- Author:
Hui WANG
1
,
2
;
Hui MA
;
Kaili DIAO
;
Haitao QU
;
Changjun TENG
;
Cheng YIN
;
Hua YANG
;
Ning ZHANG
Author Information
1. 210029南京,南京医科大学第四临床医学院
2. 210029南京,南京医科大学附属脑科医院医学心理科
- Keywords:
Depression;
Remission;
Self-evaluation of symptoms;
Psychosocial function;
Automatic thinking
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2018;27(12):1091-1095
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the mediating effects of self-evaluation of depressive symptoms between psychosocial function and negative automatic thinking in patients with depression in remission.Methods The Hamilton depression scale (HAMD-17),generic quality of life inventory(GQOLI),Beck depression inventory(BDI) and automatic thoughts questionnaire (ATQ) were applied to 122 subjects who were patients with depression in remission.Results (1) There was significantly negative correlation between self-evaluation of depressive symptoms and physical function and psychological function and social function(r=-0.559,r=-0.435,r=-0.388,all P<0.01),and negative correlation between negative automatic thinking and physical function,psychological function and social function(r=-0.563,r=-0.449,r=-0.468,all P<0.01).(2)The score of physical function,psychological function and social function in the group with low self-evaluation of depressive symptoms was higher than those in the group with high self-evaluation of depressive symptoms (low group:70.27±11.33,69.54±11.53,69.09±10.41;high group:53.33±9.32,57.24±13.80,57.69± 12.77),and the differences were statistically significant (t=7.40,4.82,4.48,P<0.01).(3) Negative automatic thinking had a significant negative effect on physical function (B =-0.17,P<0.01),which was affected by self-evaluation of depressive symptoms.The relationship between negative automatic thinking and psychological function was affected by self-evaluation of depressive symptoms.Conclusion Self-evaluation of depressive symptom plays a mediating role between negative automatic thinking and physical function,which also was a mediator in the relationship between negative automatic thinking and mental function.