卒中后抑郁患者社会心理因素的研究

目的探讨脑卒中后抑郁(PSD)与应对方式及社会支持的关系,为心理干预提供依据,以促进患者的全面康复。方法采用抑郁自评量表(SDS)、多伦多述情障碍量表(TAS-20)、社会支持量表(SSRS)和医学应对方式问卷(MCMQ)对31例PSD患者和36例脑卒中非抑郁患者进行测评。结果 PSD组社会支持总分、主观支持及支持利用度均明显低于非抑郁组(P<0.01或P<0.05);PSD组面对分较非抑郁组明显降低,屈服分明显升高,差异均有统计学意义(P<0.05);PSD组F1因子分高于非抑郁组,差异有统计学意义(P<0.05)。结论缺乏社会支持、采取消极应对方式及述情障碍可能与PSD的发生有关,加强心理干预、增加社会支持、矫正应对方式及识别情绪能力可以促进患者的康复,提高生活质量。

Studies on social-psychic factors in patients with post-stroke depression

Objective To explore the relationship of coping style or social support and post-stroke depression(PSD),in order to provide the basis for psychological intervention and promote the comprehensive rehabilitation of patients.Methods Thirty-one patients with PSD and thirty-six patients with stroke were assessed with self-rating depression scale(SDS),Toronto alexithymia scale(TAS-20),social support rating scale(SSRS),and medical coping modes questionnaire(MCMQ).Results The total score of social sustain,the score of subjective support and support utilization in the depression group were lower than those in the non-depression group(P<0.01 or P<0.05).The score of confrontation in the depression group was significantly lower than that in the non-depression group(P<0.05),while the score of resignation in the depression group was significantly higher than that in the non-depression group(P<0.05).The F1 factor score in the depression group was higher than that in the non-depression group(P<0.05).Conclusion Strengthening mental intervention,correcting coping style and emotional recognization ability can promote patients′ recovery and quality of life.