抑郁症患者的自杀风险与 痛苦容忍度和心理韧性的关系.

Objective: To explore the relationship among suicide risk, distress tolerance, and resilience in patients with depression. Methods: A total of 130 patients with depression who met the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnostic criteria were included. The Chinese version of the Mini International Neuropsychiatric Interview (MINI) suicide module was used to assess suicide risk. According to the interview results, the patients with depression were divided into suicide risk group (98 cases) and non-suicide risk group (32 cases). The Hamilton Depression Rating Scale (HAMD), Distress Tolerance Scale (DTS), 10-item Connor-Davidson Resilience Scale (CD-RISC-10) were used to assess severity of depressive symptoms, level of distress tolerance and resilience, respectively. Results: The DTS total scores were positively correlated with the CD- RISC-10 total scores (r=0.50, P<0.01). The total scores of MINI suicide module were negatively correlated with the total scores of DTS and CD-RISC-10 (r=-0.34, 0.34, Ps <0.01). Distress tolerance had a direct effect on suicide risk (β = -0.26, P < 0.05), and resilience played a mediating effect on the relationship between distress tolerance and suicide risk (B=0. 13, P<0.05), and the mediating effect accounted for 33.5% of the total effect. Conclusion: Patients with depression with lower levels of distress tolerance may have higher suicide risk, and resilience may play a partially mediating role in the relationship between distress tolerance and suicide risk. [ABSTRACT FROM AUTHOR]