Comparison Of Psychosocial Function Of The Depressive Disorders And The Anxious Disorders

objectiveTo compare psychosocial function difference of patients with major depressivedisorder, anxiety disorder, obsessive-compulsive disorder and the controls, andexplore the correlations between the psychosocial function and symptomatology.MethodsA cross-sectional study design was used to compare psychosocial function ofmajor depressive disorder(n=79), anxiety disorder(n=53), obsessive-compulsivedisorder (n=48) patients and the controls (n=57) were assessed with Hamiltondepression scale(HAMD), attributional style questionnaire(ASQ), Connor-Davidsonresilience scale(CD-RISC), the self-esteem scale(SES), index of well-being(IWB),and social disability screening schedule(SDSS).Results1. Compare the psychosocial function of major depressive disorder, anxiety disorderand obsessive-compulsive disorder patients and controls:(1) The attributional style showed significant differences between the depressivepatients with the controls, the differences in anxiety disorders, obsessive-compulsivedisorder patients and controls were not significant.(2) The scores of resilience in patients with major depressive disorder, anxietydisorder, obsessive-compulsive disorder were significantly lower than the controls,the level of resilience in the depressive patients was significantly lower than theanxiety disorder patients. (3) The scores of self-esteem in patients with major depressive disorder, anxietydisorder, obsessive-compulsive disorder were significantly lower than the controls,the level of self-esteem are similar in the three diseases.(4) The scores of subjective well-being in patients with major depressive disorder,anxiety disorder, obsessive-compulsive disorder were significantly lower than thecontrols, the scores of subjective well-being in the depressive patients weresignificantly lower than the patients with anxiety disorder and obsessive-compulsivedisorder.(5)The level of social function of patients with major depressive disorder, anxietydisorders, obsessive-compulsive disorder were lower than the controls, and thedepressive patients is lower than patients with the anxiety disorder andobsessive-compulsive disorder.2.The correlations between the psychosocial function and symptomatology:(1) there were no significant correlation between the score of attributional style inpatients with major depressive disorder and obsessive-compulsive disorder with theHAMD score and the factor scores, while the score of attributional style in anxietydisorders patients and the desperation factor scores was negatively correlated.(2) there were no significant correlation between the score of resilience in patientswith major depressive disorder with the HAMD score and the factor scores, the scoreof the anxiety disorder group and the weight factor scores were negatively correlated,the score of the obsessive-compulsive disorder group and the HAMD scores, theretardation factors scores with the desperation factor scores were negativelycorrelated.(3) the score of self-esteem in the depressive patients and the desperation factorscores were positively correlated, there were no significant correlation between thescore of self-esteem in patients with anxiety disorder with the HAMD score and the factor scores, the score of the obsessive-compulsive disorder group and the HAMDscores, the retardation factors scores with the desperation factor scores werepositively correlated.(4)The scores of subjective well-being in the depressive patients and the desperationfactor scores are negatively correlated; the scores of subjective well-being in anxietydisorder group and the cognition factor scores, the sleep factor scores, the desperationfactor scores are negatively correlated; the scores of subjective well-being inobsessive-compulsive disorder group and the HAMD scores, the diurnal variationscores, the retardation scores, the desperation factor scores are negatively correlated.The desperation factor and the anxiety factor significantly affect the level ofsubjective well-being in major depressive disorder group; the cognition factor and thesleep factor significantly affect the level of subjective well-being in anxiety disordergroup; the desperation factor significantly affect the level of subjective well-being inobsessive-compulsive disorder group.(5) The scores of SDSS in the depressive patients and the desperation factor scoresare positively correlated; the scores of SDSS in anxiety disorder group and the diurnalvariation scores, the desperation factor scores are positively correlated; the scores ofSDSS in obsessive-compulsive disorder group and the retardation scores, thedesperation factor scores are positively correlated. The desperation factorsignificantly affect the level of social function in major depressive disorder group; thediurnal variation factor significantly affect the level of social function in anxietydisorder group; the retardation factor significantly affect the level of social function inobsessive-compulsive disorder group.ConclusionsIn this study, from the view of positive psychology, we find the similarities anddifferences of attributional style, resilience, self-esteem, subjective well-being and social function in patients with major depressive disorder, anxiety disorder,obsessive-compulsive disorder and controls, also find the relationship betweenpsychosocial function and symptoms in the three diseases. This is a reminder that wecan help patients from a new perspective in order to reduce the incidence of suicide,and not only eliminating the pathological symptoms, but also eliminating the negativeemotions importantly to prompt the treatment of mental illness, to enable positiveemotions, it is provide some guidance for the psychological treatment strategies ofthree diseases.