| 朱兰,李洁,李美娟,高营.重性抑郁障碍患者社会支持与抑郁症状的关系：共情的作用路径[J].四川精神卫生杂志,2025,(2):166-171.Zhu Lan,Li Jie,Li Meijuan,Gao Ying,Relationship between social support and depressive symptoms in patients with major depressive disorder： the pathway of empathy[J].SICHUAN MENTAL HEALTH,2025,(2):166-171 |
| 重性抑郁障碍患者社会支持与抑郁症状的关系：共情的作用路径 |
| Relationship between social support and depressive symptoms in patients with major depressive disorder： the pathway of empathy |
| 投稿时间：2024-08-09 |
| DOI：10.11886/scjsws20240809001 |
| 中文关键词: 抑郁 社会支持 共情 中介效应 |
| 英文关键词:Depressive Social Support Empathy Mediating effect |
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| 中文摘要: |
| 背景 社会支持有助于缓解重性抑郁障碍（MDD）患者的抑郁症状并提高个体的共情水平。共情水平越高，抑郁症状发生风险越低。目前，关于MDD患者社会支持、共情能力和抑郁症状的关系尚不明确。目的 探讨共情在MDD患者社会支持与抑郁症状之间的作用路径，为MDD患者的临床治疗提供参考。方法 选取2020年7月—2022年9月在天津市安定医院门诊就诊的、符合《精神障碍诊断与统计手册（第5版）》（DSM-5）MDD诊断标准的126例患者为研究对象。采用汉密尔顿抑郁量表17项版（HAMD-17）、人际反应指针量表（IRI）和社会支持评定量表（SSRS）进行评定。采用Pearson相关分析考查各量表评分之间的相关性。采用Process 3.4.1插件的模型4进行作用路径分析，采用Bootstrap法检验作用路径。结果 MDD患者HAMD-17总评分与IRI总评分、幻想维度和个人悲伤维度评分均呈正相关（r=0.225、0.213、0.220，P均<0.05），与SSRS总评分、主观支持维度和对支持的利用度维度评分均呈负相关（r=-0.211、-0.181、-0.208，P均<0.05）；SSRS中的对支持的利用度维度评分与IRI总评分、观点采择和共情关注维度评分均呈正相关（r=0.257、0.261、0.331，P均<0.01）。共情是对支持的利用度与抑郁症状之间的作用路径，间接效应值为0.217（95% CI：0.060~0.426），效应量为36.90%。结论 共情可能是MDD患者对支持的利用度与抑郁症状之间的作用路径。 |
| 英文摘要: |
| Background Social support can help alleviate depressive symptoms in patients with major depressive disorder （MDD） and improve individual levels of empathy. The higher the level of empathy， the lower the probability of depressive symptoms. At present， the relationship between social support， empathy and depressive symptoms in MDD patients is unclear.Objective To explore the pathway of empathy in the relationship between social support and depressive symptoms in patients with MDD， so as to provide references for clinical treatment of MDD patients.Methods A total of 126 patients who visited the outpatient clinic of Tianjin Anding hospital from July 2020 to September 2022 and met the diagnostic criteria for Major Depressive Disorder （MDD） according to the Diagnostic and Statistical Manual of Mental Disorders， fifth edition （DSM-5） were selected as the study subjects. Hamilton Depression Scale-17 item （HAMD-17）， Interpersonal Reactivity Index （IRI） and Social Support Rating Scale （SSRS） were used for assessment. Pearson correlation analysis was conducted to examine the correlations among the scale scores. Path analysis was performed using Model 4 of the Process 3.4.1. Bootstrap method was used to test the path effects.Results Among MDD patients， HAMD-17 total score was positively correlated with IRI total score and its subscales of fantasy and personal distress （r=0.225， 0.213， 0.220， P<0.05）. HAMD-17 total score was negatively correlated with SSRS total score and its subscales of subjective support and support utilization （r=-0.211， -0.181， -0.208， P<0.05）. The score of support utilization subscale of SSRS was positively correlated with IRI total score and its subscale of perspective taking and empathic concern （r=0.257， 0.261， 0.331， P<0.01）. Empathy served as a pathway between support utilization and depressive symptoms， with an indirect effect of 0.217 （95% CI： 0.060~0.426）， and the effect size was 36.90%.Conclusion Empathy may serve as a pathway between support utilization and depressive symptoms in patients with MDD. |
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