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目的:考察伴抑郁情绪原发性高血压患者的功能失调性态度的特征。方法:对1088例高血压患者进行医院焦虑抑郁量表(HAD)筛选,将评分阳性者再进行汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评分,HAMD≥20分,且HAMA<14分者入选,共获得262名伴抑郁情绪高血压病患者作为研究被试。另外选择长沙的两个社区人群,共计306例作为对照组。采用功能失调性态度问卷(DAS)对其进行测查。结果:①伴抑郁情绪高血压病患者经常持有的功能失调性认知排在前三位放的依次排序为:认知哲学,寻求赞许,强制性;②受试者得分具有明显的性别差异。③除了自主性态度分量表以外,其余功能失调性态度分量表都与抑郁量表得分显著正相关(P<0.05)。结论:伴抑郁情绪原发性高血压患者存在明显的功能失调性认知特征。
Objective: To investigate the characteristics of dysfunctional attitude in patients with depression and essential hypertension. Methods: A total of 1088 Hypertensive patients were screened by HAD, and HAMD and HAMA were scored with positive scores of HAMD and HAMD scores of 20 and HAMA scores < 14 points were selected, a total of 262 patients with depression-induced hypertension as a research subject. In addition, two community groups were selected in Changsha, a total of 306 cases as a control group. They were tested using the dysfunctional attitude questionnaire (DAS). Results: ① The dyslexia cognitive rankings in patients with depression-related hypertension often ranked in the order of the top three: cognitive philosophy, seeking approval and compulsion; ②the scores of subjects had significant gender differences . (3) Except voluntary attitude subscale, all other dysfunction attitude subscales were significantly and positively correlated with depression scale (P <0.05). Conclusion: There are obvious cognitive dysfunction in patients with depression and essential hypertension.