| 缪楹，徐晓津，徐艳芩，房茂胜.抑郁发作患者自杀意念与认知融合和经验性回避的关系[J].神经损伤功能重建,2024,(9):501-504 |
| 抑郁发作患者自杀意念与认知融合和经验性回避的关系 |
| Relationship between Suicidal Ideation and Cognitive Fusion and Experiential Avoidance inPatients with Depressive Episodes |
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| DOI： |
| 中文关键词: 自杀意念 认知融合 经验性回避 抑郁发作 |
| 英文关键词: suicidal ideation cognitive fusion experiential avoidance depressive episodes |
| 基金项目:武汉市卫生健康委
员会科研项目（接
纳承诺疗法改善抑
郁症心理灵活性及
其 影 响 因 素 的 研
究，No.WX20C33） |
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| 中文摘要: |
| 目的：探究抑郁发作患者自杀意念与认知融合和经验性回避之间的关系。方法：采用随机抽样的方
法纳入160例抑郁发作患者，使用一般人口学问卷、贝克自杀意念量表中文版、认知融合问卷（中文版）、接
纳与行动问卷第二版（中文版）进行调查，分析自杀意念与认知融合和经验性回避的关系。结果：有无自杀
意念的抑郁发作患者在受教育年限、职业、婚姻、受虐待史、认知融合、经验性回避的差异有统计学意义（均
P＜0.05）。自杀意念强度与认知融合（OR=0.287，P＜0.05）和经验性回避（OR=0.349，P＜0.05）呈正相关。
在认知融合方面，“中等到强烈”的“被动尝试自杀的愿望”与“无”和“弱”的差异有统计学意义（P＜0.05）；在
经验性回避方面，“中等到强烈”的“主动尝试自杀的愿望”和“被动尝试自杀的愿望”与“无”和“弱”的差异
有统计学意义（P＜0.05）。二元Logistics回归显示，受教育年限越短，自杀意念发生率越高（OR=0.781，95%
CI 0.661～0.922，P=0.004），经验性回避越高，自杀意念发生率越高（OR=1.150，95%CI 1.055～1.255，P=
0.002）。结论：认知融合和经验性回避均与抑郁发作患者的自杀意念强度呈正相关，经验性回避是抑郁发
作患者自杀意念的风险因素。 |
| 英文摘要: |
| To explore the relationship between suicidal ideation and cognitive fusion and
experiential avoidance in patients with depressive episodes. Methods: A total of 160 patients with depressive
episode were enrolled by random sampling method. The general demographic questionnaire, Beck Suicidal
Ideation Scale-Chinese version (BSI-CV), Cognitive Fusion Questionnaire (CFQ), Acceptance and Action
Questionnaire-second version (AAQ-II) were used to investigate the relationship between suicidal ideation and
cognitive fusion and empirical avoidance. Results: There were significant differences in years of education,
occupation, marriage, history of abuse, cognitive fusion and experiential avoidance between patients with and
without suicidal ideation (P<0.05). The intensity of suicidal ideation was positively correlated with cognitive
fusion(OR=0.287, P<0.05) and experiential avoidance (OR=0.349, P<0.05). For cognitive fusion, the "moderate
to strong" "desire to passively attempt suicide" was statistically significantly different from "none" and "weak"
(P<0.05). For experiential avoidance, the "moderate to strong" "desire to actively attempt suicide" and "desire to
passively attempt suicide" were statistically significantly different from "none" and "weak"(P<0.05). Binary
Logistics regression showed that the shorter the years of education, the higher the incidence of suicidal ideation
(OR=0.781, 95%CI 0.661～0.922, P=0.004); the higher the experiential avoidance, the higher the incidence of
suicidal ideation (OR=1.150, 95% CI 1.055～1.255, P=0.002). Conclusion: Both cognitive fusion and
experiential avoidance are positively correlated with the intensity of suicidal ideation in patients with depressive
episode, and experiential avoidance is a risk factor for suicidal ideation in patients with depressive episode. |
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