抑郁症患者总体幸福感与社会支持和应对方式的相关性

目的调查抑郁症患者的幸福感,探讨其总体幸福感与社会支持和应对方式的相关性。方法于2019年2月-9月在安徽省精神卫生中心焦虑抑郁科门诊及住院患者中选择120例符合《国际疾病分类(第10版)》(ICD-10)抑郁症诊断标准的抑郁症患者作为抑郁症组,同时从社区人员及患者家属中选择122例作为对照组。采用总体幸福感量表(GWB)(中国版)、社会支持评定量表(SSRS)、简易应对方式问卷(SCSQ)进行评定,应用Pearson相关分析及多元线性回归分析比较抑郁症患者GWB、SSRS与SCSQ评分的相关性。结果抑郁症患者GWB评分低于对照组,差异有统计学意义(62.43±13.48)分vs.(84.97±10.02)分,t=-14.780,P<0.01];抑郁症患者GWB评分与SCSQ总评分和积极应对方式评分均呈正相关(r=0.378、0.460,P均<0.01);抑郁症患者GWB评分与SSRS客观支持、主观支持、对支持的利用度评分及总评分均呈正相关(r=0.354~0.561,P<0.05或0.01);SSRS客观支持、主观支持、对支持的利用度评分及总评分与SCSQ总评分和积极应对方式评分均呈正相关(r=0.234~0.398,P<0.05或0.01)。结论抑郁症患者幸福感较低,且其幸福感水平与社会支持和积极应对方式相关。

Correlation between general well-being, social support and coping style of patients with depression

Objective To investigate the general well-being of depression patients, and to explore the correlation among general well-being, social support and coping styles.Methods From February to September 2019, 120 depression in outpatient and inpatient departments from Anhui Mental Health Center who met the diagnostic criteria of International Classification of Diseases, tenth edition (ICD-10) were randomly selected as the depression group. Meanwhile, 122 healthy individuals from community and family members of the patients were randomly enrolled as the control group. All the selected subjects were assessed by General Well-Being Schedule (GWB), Social Support Rating Scale (SSRS) and Simplified Coping Style Questionnaire (SCSQ). Pearson correlation analysis and multiple linear regression analysis were used to verify the correlation among GWB, SSRS and SCSQ scores in depression patients.Results GWB score of depression group was lower than that of control group (62.43±13.48) vs. (84.97±10.02), t=-14.780, P<0.01]. In the depression group, GWB score was positively correlated with SCSQ total score and positive coping style score (r=0.378, 0.460, P<0.01). GWB score of depression patients was positively correlated with the objective support score, subjective support score, utilization of support score and total score of SSRS (r=0.354~0.561, P<0.05 or 0.01). Besides, the objective support score, subjective support score, utilization score and total score of SSRS were positively correlated with total score and positive coping style score in SCSQ (r=0.234~0.398, P<0.05 or 0.01).Conclusion General well-being level is low in depression patients, and is positively correlated with social support and positive coping style.