抑郁症患者二元应对水平及相关因素分析OACHSSCD
Dyadic coping in patients with depression and its associated factors
目的:探讨抑郁症患者的二元应对水平及其与抑郁症严重程度之间的关系,并分析相关因素.方法:选取 198 例符合 DSM-5 诊断标准的抑郁症住院患者,采用一般资料调查表、二元应对量表、汉密顿抑郁量表-17 调查患者的人口社会学资料、疾病基本信息、二元应对水平和抑郁严重程度.结果:患者二元应对总分为(99.8±21.2)分,汉密顿抑郁量表总分为(18.4±7.0)分,两者呈负相关(r=-0.63,P＜0.01).多因素线性回归模型显示,抑郁症患者受教育程度(β=0.31,P＜0.001)、城镇居住(β=0.16,P＜0.05)与二元应对总分正关联,疾病复发次数(β=-0.18,P＜0.01)与二元应对总分呈负关联.结论:抑郁症患者二元应对低于正常水平,且与抑郁严重程度负相关,与受教育程度、居住地和疾病复发次数相关.
Objective:To investigate the level of dyadic coping in patients with depression,examine its rela-tionship with depression severity,and analyze the associated factors.Methods:A total of 198 hospitalized patients diagnosed with depression according to DSM-5 criteria were assessed using a general information questionnaire,the Dyadic Coping Inventory(DCI),and the Hamilton Depression Rating Scale(HAMD).Results:The mean DCI score was(99.8±21.2),and the mean HAMD score was(18.4±7.0).Dyadic coping was negatively correlated with depression severity(r=-0.63,P＜0.01).The multiple linear regression model revealed that among individu-als with depression,educational attainment(β=0.31,P＜0.001)and residing in urban areas(β=0.16,P＜0.05)were positively associated with dyadic coping,whereas more frequent relapses(β=-0.18,P＜0.01)were nega-tively associated.Conclusion:Patients with depression exhibited lower levels of dyadic coping.Enhancing educa-tion,improving social support,and reducing relapse frequency may strengthen dyadic coping in this population.
程晓莉;李传素;曾静;刘丽萍
重庆医科大学附属第一医院精神科,重大脑疾病与衰老教育部重点实验室,重庆医科大学附属第一医院护理部,重庆 400016重庆医科大学附属第一医院精神科,重大脑疾病与衰老教育部重点实验室,重庆医科大学附属第一医院护理部,重庆 400016重庆医科大学附属第一医院精神科,重大脑疾病与衰老教育部重点实验室,重庆医科大学附属第一医院护理部,重庆 400016重庆医科大学附属第一医院精神科,重大脑疾病与衰老教育部重点实验室,重庆医科大学附属第一医院护理部,重庆 400016
医药卫生
抑郁症二元应对相关因素
depressiondyadic copingassociated factors
《中国心理卫生杂志》 2026 (7)
567-571,5
重庆市重点专科建设《临床护理》精品建设项目(0203[2023]47号202336),重医一院2022年度院内护理科研基金项目(HLJJ2022-09)
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