探讨社会支持应对方式及社会事件对抑郁症的影响(1)
摘要：目的 观察抑郁症患者在应对方式、社会支持以及生活事件方面与健康人的差异。方法 选取2018年9月～2019年2月石河子大学医学院第一附属医院康复心理科住院的抑郁症患者30例作为病例组。另选取同时期本院健康体检者30例为对照组。使用简易应对方式问卷(SCSQ)、社会支持量表(SSRS)以及生活事件量表(LES)进行测评并比较。结果 病例组SCSQ总分及积极应对方式得分小于对照组，差异具有统计学意义(P<0.05);病例组SSRS总分及客观支持、支持利用度评分低于对照组，差异具有统计学意义(P<0.05);病例组LES总分及家庭生活、社交及其他评分高于对照组，差异具有统计学意义(P<0.05)。结论 在日常生活中受到来自家庭生活方面和社交方面的刺激事件可能更容易引起抑郁症的发生，给予更多的社会支持，提高患者对社会支持的利用度以及在处理事件中选取积极的应对方式，将有助于降低抑郁症的发生。
关键词：抑郁症;应对方式;社会支持;生活事件
Abstract：Objective To observe the differences between patients with depression in terms of coping style， social support and life events.Methods 30 patients with depression who were admitted to the Department of Rehabilitation and Psychology， the First Affiliated Hospital of Shihezi University Medical College from September 2018 to February 2019 were selected as case groups. Another 30 healthy subjects in the same period were selected as the control group. The simple coping style questionnaire (SCSQ)， the social support scale (SSRS)， and the life event scale (LES) were used for evaluation and comparison.Results The scores of SCSQ and positive coping styles in the case group were smaller than those in the control group，the difference was statistically significant (P<0.05). The SSRS total score and objective support and support utilization scores in the case group were lower than those in the control group，the difference was statistically significant (P<0.05); LES total score and family life， social and other scores in the case group were higher than the control group，the difference was statistically significant (P<0.05).Conclusion In daily life， family life and social stimuli may be more likely to cause depression， give more social support， improve patient access to social support， and selecting positive coping styles in dealing with incidents， this will help reduce depression.
, http://www.100md.com
Key words：Depression;Coping style;Social support;Life events
抑郁癥(depression)又称抑郁障碍，是一种常见的精神疾病，其核心症状主要有情绪低落，兴趣丧失与精力下降，此外抑郁症患者也存在较多的负性想法，如产生羞愧、无助、无望，绝望感，甚至试图自杀或自杀[1，2]。在中国和其它发达国家中，抑郁症在精神障碍所致疾病负担中位列首位[3]。抑郁症病程长，复发率高，致残率高，严重影响个人日常生活能力，不仅对患者健康造成影响，也增加了家庭与社会负担。近年来抑郁症越来越受到公众关注，相关研究发现，全球抑郁症发病率逐年上升，近20%的人口，其一生中都会患上抑郁症[4]。这可能与近几年人们生活节奏加快，各行业竞争压力增大等因素有关。本研究将从社会支持，应对方式和生活事件等方面进行相关分析，探讨上述因素对抑郁症的影响。
1资料与方法
1.1一般资料 选取2018年9月～2019年2月石河子大学医学院第一附属医院康复心理科住院的抑郁症患者30例作为病例组。另选取同时期本院健康体检者30例为对照组。所有研究对象均签署知情同意书。
1.2纳入标准 病例组：①符合《疾病与有关健康问题的国际统计分类》第10次修订(ICD-10)诊断标准抑郁发作或复发性抑郁发作诊断的患者[5];②汉密尔顿抑郁量表(HAMD，24项版本)总分≥21分;③年龄18～65岁。对照组：①精神检查无异常;②汉密尔顿抑郁量表(HAMD，24项版本)总分≤8分;③年龄18～65 岁。, 百拇医药(王晓磊 邢文龙 薛瑾艳)
关键词：抑郁症;应对方式;社会支持;生活事件
Abstract：Objective To observe the differences between patients with depression in terms of coping style， social support and life events.Methods 30 patients with depression who were admitted to the Department of Rehabilitation and Psychology， the First Affiliated Hospital of Shihezi University Medical College from September 2018 to February 2019 were selected as case groups. Another 30 healthy subjects in the same period were selected as the control group. The simple coping style questionnaire (SCSQ)， the social support scale (SSRS)， and the life event scale (LES) were used for evaluation and comparison.Results The scores of SCSQ and positive coping styles in the case group were smaller than those in the control group，the difference was statistically significant (P<0.05). The SSRS total score and objective support and support utilization scores in the case group were lower than those in the control group，the difference was statistically significant (P<0.05); LES total score and family life， social and other scores in the case group were higher than the control group，the difference was statistically significant (P<0.05).Conclusion In daily life， family life and social stimuli may be more likely to cause depression， give more social support， improve patient access to social support， and selecting positive coping styles in dealing with incidents， this will help reduce depression.
, http://www.100md.com
Key words：Depression;Coping style;Social support;Life events
抑郁癥(depression)又称抑郁障碍，是一种常见的精神疾病，其核心症状主要有情绪低落，兴趣丧失与精力下降，此外抑郁症患者也存在较多的负性想法，如产生羞愧、无助、无望，绝望感，甚至试图自杀或自杀[1，2]。在中国和其它发达国家中，抑郁症在精神障碍所致疾病负担中位列首位[3]。抑郁症病程长，复发率高，致残率高，严重影响个人日常生活能力，不仅对患者健康造成影响，也增加了家庭与社会负担。近年来抑郁症越来越受到公众关注，相关研究发现，全球抑郁症发病率逐年上升，近20%的人口，其一生中都会患上抑郁症[4]。这可能与近几年人们生活节奏加快，各行业竞争压力增大等因素有关。本研究将从社会支持，应对方式和生活事件等方面进行相关分析，探讨上述因素对抑郁症的影响。
1资料与方法
1.1一般资料 选取2018年9月～2019年2月石河子大学医学院第一附属医院康复心理科住院的抑郁症患者30例作为病例组。另选取同时期本院健康体检者30例为对照组。所有研究对象均签署知情同意书。
1.2纳入标准 病例组：①符合《疾病与有关健康问题的国际统计分类》第10次修订(ICD-10)诊断标准抑郁发作或复发性抑郁发作诊断的患者[5];②汉密尔顿抑郁量表(HAMD，24项版本)总分≥21分;③年龄18～65岁。对照组：①精神检查无异常;②汉密尔顿抑郁量表(HAMD，24项版本)总分≤8分;③年龄18～65 岁。, 百拇医药(王晓磊 邢文龙 薛瑾艳)