脑卒中患者依恋类型与抑郁的相关性研究
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摘要
目的分析脑卒中患者依恋类型以及与抑郁之间的关系。方法采用常用的成人依恋关系问卷,贝克抑郁问卷进行评分及分析。结果 (1)脑卒中患者依恋类型:安全型依恋为27%,轻视型为35%,矛盾型为24%,害怕型为14%;(2)安全型与不安全型依恋类型(包括轻视型、矛盾型、害怕型)的患者在抑郁得分上比较,差异有统计学意义(P <0. 01);(3)依恋类型与抑郁程度之间存在着密切的联系。安全型依恋抑郁程度轻,不安全型依恋抑郁程度更严重。结论在临床康复治疗及心理治疗工作中,根据脑卒中患者的依恋类型提供恰当的心理干预,可以有效地预防和控制脑卒中后抑郁情绪的发生,为脑卒中患者的临床康复治疗、特别是心理治疗提供了一定的理论依据。
Objective To analyze the relationship between attachment type and depression in stroke patients.Method Adult Attachment Questionnaire and Baker's Depression Questionnaire were used to analyze the relationship between attachment types and depression in stroke patients. Results Among the attachment types of stroke patients,safe attachment,despising attachment,contradictory attachment and fear attachment accounted for 27%,35%,24% and 14% respectively. There was a statistically significant difference in the scores of depression between safe and unsafe attachment types included light type,ambivalent type,and fear-based type( P < 0. 01). There was a close relationship between the type of attachment and the degree of depression. Safe attachment was less depressed,and unsafe attachment was more severe depression. Conclusion In the clinical rehabilitation and psychotherapy,appropriate psychological intervention can effectively prevent and control the occurrence of post-stroke depression according to the attachment type of stroke patients,which provides a theoretical basis for clinical rehabilitation treatment of stroke patients,especially psychotherapy.
Objective To analyze the relationship between attachment type and depression in stroke patients.Method Adult Attachment Questionnaire and Baker's Depression Questionnaire were used to analyze the relationship between attachment types and depression in stroke patients. Results Among the attachment types of stroke patients,safe attachment,despising attachment,contradictory attachment and fear attachment accounted for 27%,35%,24% and 14% respectively. There was a statistically significant difference in the scores of depression between safe and unsafe attachment types included light type,ambivalent type,and fear-based type( P < 0. 01). There was a close relationship between the type of attachment and the degree of depression. Safe attachment was less depressed,and unsafe attachment was more severe depression. Conclusion In the clinical rehabilitation and psychotherapy,appropriate psychological intervention can effectively prevent and control the occurrence of post-stroke depression according to the attachment type of stroke patients,which provides a theoretical basis for clinical rehabilitation treatment of stroke patients,especially psychotherapy.
引文
[1]史战明,杨琴,薛莹,等.抑郁症患者的成人依恋类型研究[J].中国临床心理学杂志,2013,2(4):616-619.
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[6]中华神经学会.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[7]中华神经科学会,中华神经外科学会.各类脑血管疾病诊断要点[J].中华神经外科杂志,1997,13(1):3-4.
[8]Bowlby R. Growing Up with Attachment Theory-A Personal View[J]. Psychodyn Psychiatry,2017,45(4):431-439.
[9]李同归.依恋理论中的几个热点问题概述[J].北京大学学报(自然科学版),2006,42(1):18-25.
[10]李菲茗,傅根耀.成人依恋问卷(AAQ3. 1)的初步试用[J].中国临床心理学杂志,2001,9(3):190-192.
[11]Hackett ML,Pickles K. Part I:frequency of depression after stroke:an updated systematic review and meta-analysis of observational studies[J]. Int J Stroke,2014,9(8):1017-1025.
[12]王少石,周新雨,朱春燕.卒中后抑郁临床实践的中国专家共识[J].中国卒中杂志,2016,11(8):685-693.
[2]王凤锦,李同归.幼儿教师的依恋类型、工作投入与职业幸福感[J].中国健康心理学杂志,2014,22(9):1349-1351.
[3]Grossmann KE,Bretherton I,Waters E,et al. Maternal sensitivity:observational studies honoring Mary Ainsworth's 100(th)year[J].Attach Hum Dev,2013,15(5-6):443-447.
[4]王雪梅,史占明.强迫障碍患者的成人依恋类型及其与压力觉知的关系[J].中国临床心理学杂志,2013,21(3):426-428.
[5]刘建兵,马芳菲.卒中后抑郁研究进展[J].现代中西医结合杂志,2015,24(36):4093-4095.
[6]中华神经学会.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[7]中华神经科学会,中华神经外科学会.各类脑血管疾病诊断要点[J].中华神经外科杂志,1997,13(1):3-4.
[8]Bowlby R. Growing Up with Attachment Theory-A Personal View[J]. Psychodyn Psychiatry,2017,45(4):431-439.
[9]李同归.依恋理论中的几个热点问题概述[J].北京大学学报(自然科学版),2006,42(1):18-25.
[10]李菲茗,傅根耀.成人依恋问卷(AAQ3. 1)的初步试用[J].中国临床心理学杂志,2001,9(3):190-192.
[11]Hackett ML,Pickles K. Part I:frequency of depression after stroke:an updated systematic review and meta-analysis of observational studies[J]. Int J Stroke,2014,9(8):1017-1025.
[12]王少石,周新雨,朱春燕.卒中后抑郁临床实践的中国专家共识[J].中国卒中杂志,2016,11(8):685-693.