卒中后抑郁患者心理社会影响因素的对照研究

发布时间：2018-05-12 11:19

本文选题：卒中后抑郁 + 心理社会因素　；参考：《中国神经精神疾病杂志》2014年06期

【摘要】：目的探讨卒中后抑郁(post-stroke depression,PSD)的主要心理社会影响因素。方法应用复合性国际诊断问卷—3.0中文版对405例住院脑卒中患者进行筛查与诊断,其中符合抑郁障碍诊断标准的22例患者为抑郁组,在383例无抑郁障碍的患者中按性别、年龄匹配原则以1:2比例抽取44例作为非抑郁组。采用生活事件量表、简易应对方式问卷、社会支持评定量表、日常生活活动能力量表和简明幸福与生活质量满意度问卷对两组进行测评。结果抑郁组的简易应对方式问卷中消极应对维度分高于非抑郁组[(1.2±0.5)vs.(0.8±0.7)],抑郁组的社会支持评定量表中主观支持分低于非抑郁组[(17.5±4.0)vs.(20.7±4.6)],差异均有统计学意义(均P0.05)。Logis-tic回归分析显示,少数民族(OR=2.564,95%CI:1.039~6.327)和消极应对(OR=2.223,95%CI:1.052~5.192)是PSD的危险因素,主观支持是PSD的保护因素(OR=0.884,95%CI:0.793~0.986)。结论消极应对方式和主观社会支持不足可能是PSD重要的心理社会因素。
[Abstract]:Objective to investigate the main psycho-social factors of post-stroke depression (PSD). Methods 405 inpatients with stroke were screened and diagnosed with the Chinese version of compound International Diagnostic questionnaire (ICQ) -3.0. The 22 patients who met the criteria of depressive disorder were in depression group, and 383 patients without depressive disorder were divided into two groups according to sex. Age matching principle selected 44 cases as non-depressive group at 1:2 scale. Life event scale, simple coping style questionnaire, Social support rating scale, activity of Daily Life scale and Concise Happiness and quality of Life satisfaction questionnaire were used to evaluate the two groups. Results the score of negative coping dimension in simple coping style questionnaire of depression group was higher than that in non-depression group [1.2 卤0.5)vs.(0.8 卤0.7], and the score of subjective support in social support rating scale in depression group was lower than that in non-depression group [17.5 卤4.0)vs.(20.7 卤4.6], the difference was statistically significant (all P0.05).Logis-tic regression analysis showed that) The risk factors of PSD are 2.564 / 95 CI: 1.039 / 6.327 and 2.2223 / 95 CI: 1.0525.1922). Subjective support is the protective factor of PSD 0.88495 CI0.7933.0.986. Conclusion negative coping style and insufficient subjective social support may be important psychological and social factors in PSD.
【作者单位】：北京大学第六医院;北京大学精神卫生研究所;卫生部精神卫生学重点实验室(北京大学);江苏省淮安市第三人民医院;
【基金】：国家科技支撑计划项目(编号:2009BAI77B06)
【分类号】：R749.13

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