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.
引文
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