关键词: 重性抑郁障碍；应对方式；对照研究

Abstract:

Objective   To explore the coping styles of patients with major depression. Methods   A total of 303 patients with major depression were diagnosed with SCID-I-P(Study Group). In another group (Control), 303 health individuals were included, who were matched one-to-one to the Study Group, by gender, age and village. All participants were in the database of an epidemiological survey for mental disorders in persons of ≥18 years in Shandong province. The project included Simplified Coping Style Questionnaire (SCSQ), Global Assessment Function (GAF) and Common Data Questionnaire. Results   Active coping scores on SCSQ in the Study Group were lower than those in the Control Group (P＜0.01). Active SCSQ scores of farmers, fishermen, older people or those with low education were lower than those of others in both groups (P＜0.05). Active SCSQ scores of patients with multiple suicide attempts or with serious social dysfunction were low (P＜0.05), but these patients′ passive SCSQ scores were high (P＜0.05). Conclusion   Patients with major depression had poorer active coping ability than health people. Age, education, times of attempted suicide and social dysfunction are likely to influence the active coping ability of patients with major depression. The fervency of intension to suicide may be a factor to influence passive coping ability.

Key words: Major depression; Coping style; Control study