精神分裂症一级亲属照顾者抑郁状况与应对方式及社会支持的研究
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摘要
目的研究精神分裂症一级亲属照顾者抑郁状况与应对方式及社会支持。方法选取2015年1月~2016年6月我院治疗的218例患者,采用抑郁自评量表(SDS)对其精神分裂症一级亲属照顾者进行评定,按照有无抑郁分为抑郁组和非抑郁组,采用医学应对问卷(MCMQ)和社会支持评定量表(SSRS)对两组照顾者进行对照测评。结果共有218例完成研究,其中抑郁组84例,非抑郁组134例,抑郁发生率48.2%;抑郁组社会支持量表总分、主观支持分和支持利用度评分均低于非抑郁组,差异有统计学意义(t=2.631、3.754、5.315,均P<0.01),客观支持因子分两组差异无统计学意义(t=1.101,P>0.05);TCSQ评分抑郁组消极应对得分高于非抑郁组,积极应对得分低于非抑郁组,差异有统计学意义(t=3.608、3.580,均P<0.05)。结论精神分裂症一级亲属照顾者抑郁发生率较高,且多采取消极的应对方式。
Objectives To investigate the depression,coping style and social support of caregivers of first class relatives of schizophrenia.Methods 218 cases from January 2015 to June 2016 in our hospital with the self rating Depression Scale(SDS) of the first-degree relatives of schizophrenia caregivers were assessed in accordance with the non depression divided into depression group and non depression group by medical coping questionnaire(MCMQ) and social support rating scale(SSRS) of the two groups take care of the control measure.Results A total of 218 patients completed the study,including 84 cases of non depression group,depression group 134 cases,the incidence of depression in depression group 48.2%;social support score,subjective support and utilization of support was lower than that in the non depression group,the difference was statistically significant(t=2.631,3.754,5.315,P<0.01),objective support the factor scores of the two groups were not statistically different(t=1.101,P>0.05);the TCSQ score of depression group negative coping scores were higher than the non depression group,positive coping scores were lower than the non depression group,the difference was statistically significant(t=3.608,3.580,P<0.05).Conclusion The incidence of depression among caregivers of first-degree relatives of schizophrenia is higher,and more negative coping styles are adopted.
Objectives To investigate the depression,coping style and social support of caregivers of first class relatives of schizophrenia.Methods 218 cases from January 2015 to June 2016 in our hospital with the self rating Depression Scale(SDS) of the first-degree relatives of schizophrenia caregivers were assessed in accordance with the non depression divided into depression group and non depression group by medical coping questionnaire(MCMQ) and social support rating scale(SSRS) of the two groups take care of the control measure.Results A total of 218 patients completed the study,including 84 cases of non depression group,depression group 134 cases,the incidence of depression in depression group 48.2%;social support score,subjective support and utilization of support was lower than that in the non depression group,the difference was statistically significant(t=2.631,3.754,5.315,P<0.01),objective support the factor scores of the two groups were not statistically different(t=1.101,P>0.05);the TCSQ score of depression group negative coping scores were higher than the non depression group,positive coping scores were lower than the non depression group,the difference was statistically significant(t=3.608,3.580,P<0.05).Conclusion The incidence of depression among caregivers of first-degree relatives of schizophrenia is higher,and more negative coping styles are adopted.
引文
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[11]王长奇,马文有,乔小芬,等.精神分裂症一级亲属心理健康、社会支持与应对方式相关性调查[J].河北医科大学学报,2015,36(10):1134-1138.
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[13]王丽.面部烧伤瘢痕患者抑郁与社会支持及应对方式的相关分析[J].中国健康心理学杂志,2015,23(2):175-178.
[14]陈丽,高燕,翟金国,等.公众对抑郁症和糖尿病的病耻感对照研究[J].中华行为医学与脑科学杂志,2013,22(5):423-424.
[15]化继红,陈允恩,马文有,等.精神分裂症与轻性精神障碍患者一级亲属心理韧性、应对方式的对照研究[J].中华行为医学与脑科学杂志,2014,23(9):815-817.
[16]Johns SA,Kroenke K,Theobald DE,et al.Telecare management of pain and depression in patients with cancer:patient satisfaction and predictors of use[J].J Am Bull Care Manage,2011,34(2):126-139.
[17]Wang YH,Haslam M,Ming Y,et al.Family functioning,marital quality and social support in Chinese patients with epilepsy[J].Health Quality Life Outcomes,2015,13(1):1-8.
[18]老帼慧,杨蝉娟,关力杰.精神分裂症和双相障碍的健康一级亲属认知功能的对照研究[J].中国神经精神疾病杂志,2012,16(7):22-24.
[19]曹莉萍,林鄞,李烜,等.稳定期双相障碍Ⅰ型患者认知功能及其相关因素[J].中国心理卫生杂志,2014,(10):713-717.
[20]李涛,王强.精神分裂症和双相障碍的遗传交叠及其对精神疾病分类的影响[J].上海精神医学,2014,22(2):65-68.
[2]陈祖金,范红,王勇,等.精神分裂症一级亲属情感表达与人格特征的相关性[J].临床精神医学杂志,2012,22(4):252-254.
[3]张作记.行为医学量表手册[M].北京:中华医学电子音像出版社,2005:223-224.
[4]肖水源.《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994,4(2):98-100.
[5]张铭,孙恩其,刘兴文,等.精神分裂症与轻性精神障碍患者一级亲属心理韧性、应对方式的对照研究[J].中国神经精神疾病杂志,2015,19(9):15-17.
[6]Sun YC,Yu WJ,Xu WM,et al.Mental health of family members of patients with schizophrenia factor model explored[J].Chin J Clin Psychol,2012,20(1):61-64.
[7]Cw Lam P,Ng P,Tori C.Burdens and psychological health of family caregivers of people with schizophrenia in two Chinese metropolitan cities:Hong Kong and Guangzhou[J].Comm Ment Health J,2013,49(6):841-846.
[8]Parabiaghi A,Lasalvia A,Bonetto C,et al.Predictors of changes in caregiving burden in people with schizophrenia:a 3-year follow-up study in a community mental health service[J].Acta Psych Scand Suppl,2007,43(7):66-76.
[9]汪向东.心理卫生评定量表手册[M].北京:中国心理卫生杂志社,1999:124-213.
[10]王长奇,马文有,于振剑,等.精神分裂症患者青少年子女心理韧性与应对方式、主观生活质量的相关性[J].中华行为医学与脑科学杂志,2012,21(4):349-351.
[11]王长奇,马文有,乔小芬,等.精神分裂症一级亲属心理健康、社会支持与应对方式相关性调查[J].河北医科大学学报,2015,36(10):1134-1138.
[12]Means-Christensen AJ,Roy-Byrne PP,Sherbourne CD,et al.Relationships among pain,anxiety,and depression in primary care[J].Depress Anxiety,2008,25(7):593-600.
[13]王丽.面部烧伤瘢痕患者抑郁与社会支持及应对方式的相关分析[J].中国健康心理学杂志,2015,23(2):175-178.
[14]陈丽,高燕,翟金国,等.公众对抑郁症和糖尿病的病耻感对照研究[J].中华行为医学与脑科学杂志,2013,22(5):423-424.
[15]化继红,陈允恩,马文有,等.精神分裂症与轻性精神障碍患者一级亲属心理韧性、应对方式的对照研究[J].中华行为医学与脑科学杂志,2014,23(9):815-817.
[16]Johns SA,Kroenke K,Theobald DE,et al.Telecare management of pain and depression in patients with cancer:patient satisfaction and predictors of use[J].J Am Bull Care Manage,2011,34(2):126-139.
[17]Wang YH,Haslam M,Ming Y,et al.Family functioning,marital quality and social support in Chinese patients with epilepsy[J].Health Quality Life Outcomes,2015,13(1):1-8.
[18]老帼慧,杨蝉娟,关力杰.精神分裂症和双相障碍的健康一级亲属认知功能的对照研究[J].中国神经精神疾病杂志,2012,16(7):22-24.
[19]曹莉萍,林鄞,李烜,等.稳定期双相障碍Ⅰ型患者认知功能及其相关因素[J].中国心理卫生杂志,2014,(10):713-717.
[20]李涛,王强.精神分裂症和双相障碍的遗传交叠及其对精神疾病分类的影响[J].上海精神医学,2014,22(2):65-68.