失独者抑郁症状的分布特征及与心理弹性的关系

发布时间：2018-08-07 16:49

【摘要】：目的:了解失独者抑郁症状的分布特征和与心理弹性的关系。方法:采用分层整群抽样219名失独者,其中男82人,女137人,年龄49~83岁,用抑郁自评量表(SDS)和心理弹性量表(CDRISC)评估其抑郁状况和心理弹性水平,其中抑郁程度指数(得分/80)0.50为有抑郁,比较失独者抑郁严重程度的在年龄、性别、有无配偶、受教育程度、人均月收入上的分布差异,以及失独者抑郁特异性症状与心理弹性的关系。结果:失独者的72.1%存在抑郁,轻、中度抑郁为63.5%,重度抑郁为8.7%。男性重度抑郁比例为4.9%,低于女性10.9%(χ2=2.386,P0.01)。有序logistic回归分析结果表明,无配偶(OR=0.44,95%CI:-1.48~-0.15)、较低的受教育程度(OR=2.07,95%CI:0.11~1.35)、较低的收入(OR=4.21,95%CI:0.48-2.40;OR=2.18,95%CI:0.10-1.50)的失独者抑郁程度较重。失独者CD-RISC的韧性、力量、乐观维度得分和总分均与抑郁得分呈负相关(r=-0.16~-0.58,均P0.05)。结论:本研究提示,失独者中常见有抑郁症状,且与较低心理弹性水平相关。
[Abstract]:Objective: to investigate the distribution of depressive symptoms and the relationship between depression symptoms and mental resilience in patients with apraxia. Methods: a stratified cluster sampling of 219 patients (82 males and 137 females, aged 4983 years) was used to evaluate their depression status and resilience by using (SDS) and (CDRISC). Among them, the depression degree index (score / 80) was 0.50, which compared the distribution of depression severity in age, sex, spouse, education level, per capita monthly income. And the relationship between depressive specific symptoms and psychological elasticity in the patients with loss of independence. Results: 72.1% of the patients had depression, mild and moderate depression was 63.5%, and severe depression was 8.7%. The rate of severe depression in males was 4.9%, which was lower than that in females (10.9%) (蠂 2 / 2. 386 / P 0.01). The results of ordered logistic regression analysis showed that those who had no spouse (OR0.44 / 95CI-1.48 / -0.15), lower educational level (OR2.07 / 95CI: 0.111.35) and lower income (OR4.2195CI0.48-2.40% OR2.1895CIW 0.10-1.50) were more depressed. The scores of toughness, strength, optimistic dimension and total score of CD-RISC were negatively correlated with the scores of depression (r-0.16- 0.58, P0.05). Conclusion: this study suggests that depressive symptoms are common in patients with loss of independence and are associated with lower levels of mental resilience.
【作者单位】：中南大学湘雅护理学院护理心理学研究中心;湖南农业大学东方科技学院;
【基金】：国家社会科学基金项目,“失独者”心理健康状况及心理弹性作用机制研究,项目编号:14BSH137
【分类号】：R749.4

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