应对技巧与精神疼痛在患有抑郁症患者的关系
Caner Yeşiloğlu1, Lut Tamam2, Mehmet Emin Demirkol2
1Kirşehir Training and Research Hospital, Department of Psychiatry, Kirşehir, Turkey.
Medicine
|July 21, 2023
概括
心理疼痛 (psychache) 和较差的应对能力与自杀风险有关. 这项研究发现,功能障碍应对部分调解了精神病和自杀企图之间的关系,这表明改善应对可能会减少自杀念头.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 心理健康研究 心理健康研究
背景情况:
- 自杀是全球卫生危机,心理疼痛 (psychache) 和对它的低耐受性是显著的风险因素.
- 应对技能的个体差异影响了对精神疼痛的容忍度,影响了自杀风险.
- 了解心理疼痛,应对机制和自杀风险之间的相互作用对于开发有效的干预措施至关重要.
研究的目的:
- 研究与健康对照者相比,抑郁症患者的心理疼痛,对心理疼痛的耐受性和应对技能的关系.
- 检查应对技能的调解作用在心理疼痛和对精神疼痛的容忍之间的关联中.
- 确定与自杀念头和过去的自杀企图相关的具体应对策略.
主要方法:
- 一项涉及73名抑郁症患者和65名健康对照者的横截面研究.
- 使用了经过验证的仪器,包括贝克抑郁 inventory,贝克绝望量表,贝克自杀念头量表,心理疼痛量表,耐受精神疼痛量表 (TMPS) 和应对态度评估量表 (COPE).
- 员工调解分析,探讨应对技能的间接影响,心理和TMPS之间的关系.
主要成果:
- 与对照组相比,患有抑郁症的人在功能障碍应对 (COPE) 上的得分明显更高.
- 有过自杀尝试的参与者表现出更高的抑郁,绝望,精神疼痛和功能障碍应对得分,以及对精神疼痛的容忍度较低 (TMPS-10).
- 功能失调的应对能力部分介于精神疼痛和对精神疼痛的耐受性之间的关系,并与自杀念头和企图有关.
结论:
- 功能障碍应对策略与精神疼痛增加,对精神疼痛的容忍度降低,自杀念头和自杀企图的历史有显著的关联.
- 提高应对能力可以作为一个可行的治疗目标,以减轻自杀念头和减少自杀风险.
- 这些发现强调了评估和解决自杀风险人群应对机制的重要性.
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