抑郁症患者自我怜悯水平及其与快感缺失的关系

摘要

Objective To compare the levels of self-compassion in depression patients with those in normal popula -tion, and to explore the relationship between self -compassion and anhedonia .Methods Different levels of symp-toms of 76 depression patients and 79 healthy subjects were assessed with Chinese version of revised self -compassion scale (SCS-C), Chinese version of revised social anhedonia (RSAS-C) and Chinese version of revised physical an -hedonia (RPAS-C).Meanwhile, the symptoms of patients with schizophrenia were assessed by Chinese version of Beck depression rating scale (BDI).Results The patients had significantly lower SCS -C total scores and the sub-scores of self kind, common humanity and mindfulness than those of healthy subjects (P <0.01).The scores of RSAS-C and RPAS-C in patients were significantly higher than those in the control group (P <0.01).Correlation analysis showed that in the patients group , the SCS-C scores were significantly negatively correlated with the scores of BDI (r =-0.699 ~-0.610,P <0.01), RSAS-C(r =-0.446 ~-0.391,P <0.01) and RPAS-C(r =-0.481 ~-0.429,P <0.01).After control of the BDI score, the researcher found that the relationship between the self-compassion and anhedonia could not maintain .Conclusion Patients with depression have self -compassion defi-cits.The relationship between the low level of self -compassion and anhedonia is involved in the severity of symp -toms in depression patients.%目的：比较抑郁症患者与正常者的自我怜悯水平，探讨抑郁症患者自我怜悯与快感缺失间的关系。方法采用中文版自我怜悯量表（SCS－C）、中文版社会快感缺失量表（RSAS－C）和中文版躯体快感缺失量表（RPAS－C）对76例不同症状水平的抑郁症患者和79例正常者进行评估，抑郁症患者同时做中文版 Beck 抑郁自评量表（BDI）评估，分析患者自我怜悯水平与快感缺失间的关系。结果患者组 SCS－C 总分及其自我友善、普遍人性和正念因子得分均低于正常组（P ＜0．01）；患者组 RSAS－C 和 RPAS－C 得分高于对照者（P ＜0．01）；患者组 SCS－C 总分及其各个因子分与 BDI 得分（r ＝－0．699～－0．610，P ＜0．01）、RSAS－C 得分（r ＝－0．446～－0．391，P ＜0．01）和 RPAS－C 得分（r ＝－0．481～－0．429， P ＜0．01）呈负相关性，控制 BDI 得分后， SCS－C 得分与RSAS－C 和 RPAS－C 得分间的相关性差异无统计学意义。结论抑郁症患者自我怜悯水平较低，与社会和躯体快感缺失间存在相关，这种关联受抑郁症状严重程度的影响。