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| Association of alexithymia, resilience and suicidal ideation among depressive patients |
| BIAN Jun1 QI Wenfeng2 GUO Xin3 ZHAO Wenzhe4 LU Yueying3 JIA Na′na3 YUAN Jie5▲ |
1.The Third Ward, the Fifth Hospital of Tangshan, Hebei Province, Tangshan 063000, China;
2.Departmet of Child Psychiatry, the Sixth Hospital of Hebei Province, Hebei Province, Baoding 071000, China;
3.School of Graduate, North China University of Science and Technology, Hebei Province, Tangshan 063000, China;
4.Department of Science and Education, the People's Hospital of Tangshan City, Hebei Province, Tangshan 063000, China;
5.Institute of Mental Health, North China University of Science and Technology, Hebei Province, Tangshan 063000, China |
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Abstract Objective To investigate the characteristics and relationship between alexithymia, resilience and suicidal ideation in patients with depression, aiming at providing the basis for suicide prevention and intervention. Methods From October to December in 2014, the Self-rating Idea of Suicide Scale, Toronto Alexithymia Scale and Connor-Davdson Resilience Scale were investigated in 115 young (18-40 years old) and the elderly (>40~65 years old) patients with depression from two specialized psychiatric hospitals of the Fifth Hospital of Tangshan and Kailuan Mental Health Center in Hebei Province, the differences of different gender and age of patients with depression in alexithymia, resilience and self-rating idea of suicide; the relationship between alexithymia, resilience and self-rating idea of suicide; the prediction of self-rating idea of suicide by alexithymia and resilience were studied. Results ①There was no difference between different gender in alexithymia, resilience and suicidal ideation (P > 0.05). There was no difference between different ages in resilience and suicidal ideation(P > 0.05), while the score of alexithymia in the elderly group was higher than that in the young group (P < 0.05). ②There was a significant negetive correlation between the total score of alexithymia and resilience (P < 0.01), positive correlation between alex ithymia, suicidal ideation scores and the factors (P < 0.01), negative correlation between the total score of resilience and the total score and factor score of suicidal ideation (P < 0.01). ③The mediator effect test shows that the direct effect of alexithymia on suicidal ideation was significant (β=0.533, P < 0.01), the prediction of resilience on suicide ideation was also significant (β=-0.186, P < 0.01), and the rate of mediation effect was 13.34%. Conclusion Resilience can help the patients with depression express emotion and feelings effectively, it is essential to prevent suicidal ideation and behavior.
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[1] 朱丽君.对抑郁症患者自杀意念及相关因素的认知心理干预研究[D].太原：山西医科学，2011.
[2] 张荣华，徐俊冕.抗抑郁药、抑郁症与自杀风险[J].世界临床药物，2009，30（4）：220-223.
[3] 吴限亮，贾艳滨，孟宪璋.抑郁症患者述情障碍与精神症状和个性特征的相关性[J].暨南大学学报：自然科学与医学版，2013，34（2）：202-206.
[4] Roy A，Carli V，Sarchiapone M. Resilience mitigates the suicide risk associated with childhood trauma [J]. J Affect Disord，2011，133（3）：591-594.
[5] 杨德森，姚芳传，陈彦芳，等.中国精神疾病分类与诊断标准 [M].3版.济南：山东科学技术出版社，2001.
[6] 夏朝云，王东波，吴素琴，等.自杀意念自评量表的初步制定[J].临床精神医学杂志，2002，12（2）：100-102.
[7] 蚁金瑶，姚树桥，朱熊兆. TAS-20中文版的信度、效度分析[J].中国心理卫生杂志，2003，17（11）：763-767.
[8] Yu XN，Lau JT，Mak WW，et al. Factor structure and psychometric properties of the Connor-Davidson Resilience Scale among Chinese adolescents [J]. Compr Psychiatry，2011，52（2）：218-224.
[9] 温忠麟，张雷，侯杰泰，等.中介效应检验程序及其应用[J].心理学报，2004，36（5）：614- 620.
[10] 程龙慧，陈辉，郑名烺.农村老年人自杀意念及其与家庭环境因素关系[J].中国公共卫生，2013，29（2）：157-159.
[11] 田苗苗，陈长香，李淑杏，等.河北省城乡老年人家庭、社会支持对心理健康影响[J].中国公共卫生，2015，31（2）：156-159.
[12] 滕丽新，王健瑜，赵娟，等.中国中老年人心理健康现状[J].中国老年学杂志，2015，35（3）：782-783.
[13] 杜爱玲，姚桂英，杨世昌，等.大学生述情障碍和应对方式与抑郁的关系[J].中国学校卫生，2011，32（3）：297-299.
[14] 冯缦，刘燕，孔庆文.甘肃省大学生自杀意念与羞耻感、述情障碍、领悟社会支持的关系[J].中国心理卫生杂志， 2016，30（1）：53-57.
[15] 肖剑英.抑郁性障碍患者的症状特点及其与述情障碍特征的关系[D].长沙：中南大学，2013.
[16] 罗正为.海口市幼儿教师心理韧性实证研究[D].海口：海南师范大学，2014.
[17] 赵燕，张翔，杜建政，等.流动儿童社会支持与抑郁及孤独的关系：心理韧性的调节和中介效应[J].中国临床心理学杂志，2014，22（3）：512-516.
[18] 文超，蒋春雷，谭莉娜，等.精神科医护人员心理韧性、工作压力与焦虑抑郁情绪关系[J].中国职业医学，2014， 41（6）：697-700.
[19] 瞿晓理.“心理弹性训练”干预大学生自杀行为的实验研究[J].东华理工大学学报：社会科学版，2013，32（2）：181-185.
[20] 庞金萍.癌症患者心理韧性的影响因素及护理干预体会[J].中国医学创新，2014，11（4）：77-79.
[21] 刘丹，石国兴，郑新红.论积极心理学视野下的心理韧性[J].心理学探新，2010，30（4）：12-17.
[22] 齐文风.抑郁症患者自杀意念与希望特质、特质愤怒的关系[D].唐山：华北理工大学，2016. |
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