抑郁症患者的内在动机特征
Intrinsic motivation in patients with depression
查看参考文献29篇
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文摘
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目的:探索抑郁症患者内在动机与正常对照间的差异。方法:纳入符合精神障碍诊断与统计手册第5版(DSM-5)抑郁症诊断标准的患者和正常对照各30例。用汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)评估患者的抑郁、焦虑程度,用愉快情绪体验量表中动机性快感缺失子量表(TEPS-ant)评估两组的动机。采用无关选择范式通过评估受试者在有选择和无选择两种条件下的记忆正确率,反映个体内在动机的水平。分析抑郁症患者内在动机的改变与临床特征之间的关联。结果:抑郁症组正确率的差值低于正常对照组[(0.02±0.09) vs.(0.07±0.08),P<0.05]。抑郁症组在选择情况和非选择情况下正确率的差异无统计学意义[(0.64±0.14) vs.(0.62±0.14),P>0.05],正常对照组在选择情况下的正确率高于非选择时[(0.74±0.10) vs.(0.67±0.14),P<0.001]。抑郁症组正确率的差值与TEPS-ant总分(r=0.67,P<0.05)呈正相关,与HAMD总分(r=-0.42,P<0.05)负相关。结论:本研究提示抑郁症患者内在动机受损,患者内在动机受损与较重抑郁症状相关。 |
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其他语种文摘
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Objective:To explore the difference between the intrinsic motivation of patients with depression and normal controls.Methods:Thirty patients with depression meeting the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorder,Fifth Edition (DSM-5) and 30 normal controls were included.The symptoms of depression and anxiety were assessed with the Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA),and the motivation was assessed with the motivational pleasure deficit subscale of Temporal Experience of Pleasure Scale (TEPS-ant).The independent choice paradigm was used to reflect the level of individual motivation by evaluating the memory performance under different choices.The relationship between the change of intrinsic motivation and clinical characteristics of patients with depression was analyzed.Results:The difference value of correct rate was lower in the depression group than in the normal control[(0.02±0.09) vs.(0.07±0.08),P<0.05].There was no significant difference in the correct rate between selective and no-selective condition in the depression group[(0.64±0.14) vs.(0.62±0.14),P>0.05].In normal controls,the correct rate was higher in the selective condition than in the no-selection condition[(0.74±0.10) vs.(0.67±0.14),P<0.001].The difference value of correct rate in the patient group was positively correlated with TEPS-ant scores (r=0.67,P<0.05) and negatively correlated with HAMD scores (r=-0.42,P<0.05).Conclusion:This study suggests that patients with depression have impaired intrinsic motivation,which is associated with severe depressive symptoms. |
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来源
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中国心理卫生杂志
,2023,37(4):279-285 【核心库】
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DOI
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10.3969/j.issn.1000-6729.2023.04.002
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关键词
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抑郁症
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内在动机
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无关选择范式
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动机性快感缺失
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地址
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1.
北京回龙观医院,北京大学回龙观临床医学院, 北京, 100096
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中国科学院心理研究所, 脑与认知科学国家重点实验室, 北京, 100101
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北京师范大学, 北京, 100875
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语种
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中文 |
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文献类型
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研究性论文 |
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ISSN
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1000-6729 |
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学科
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神经病学与精神病学 |
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基金
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北京市科技计划项目
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首都卫生发展科研专项
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国家自然科学基金
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文献收藏号
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CSCD:7456993
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