摘要
目的研究卒中后抑郁的发生与生活事件、应对方式、社会支持及人格的关系。方法对120例脑卒中患者进行汉密尔顿抑郁量表评定,HAMD≥8分者为抑郁组,HAMD<8分者为疾病对照组。所有患者应用生活事件量表、特质应对方式问卷、社会支持评定量表,艾森克个性问卷(成年)4个量表进行调查。结果抑郁组的负性事件应激量和生活事件总应激量均较对照组高(P<0.01),消极应对得分高于对照组(P<0.01),主观支持度及对支持利用度评分都低于对照组(P<0.01)。艾森克人格测验(成人)N值较对照组大,而E值较对照组小,差异均有统计学意义(P<0.01)。结论病前的负性生活事件量多、消极的应对方式、主观社会支持和对支持的利用度低、以及内向神经质的人格特质可能是影响卒中后抑郁发生的社会心理因素。
Objective To investigate the relationship of onset of post-stroke depression（PSD） to life events,coping style,social support and personality.Methods According to the Hamilton depression scale,120 patients with stroke were divided into depression group（score≥8） and control group（score8）.All patients were accessed with life event scale（LES）,trait coping style questionnaire（TCSQ）,social support rating scale（SSRS） and Eysenck personality inventory（EPQ）.Results Compared with control group,the amount of negative life events,total amount of life events and passive coping score obviously increased,and subjective support and support using score significantly decreased in depression group（P0.01）.The results of EPI showed an increase in N value and a decrease in E value in depression group compared with control group（P0.01）.Conclusion A large number of negative life events,passive coping style,low subjective support and social support,and introverted and neurotic personality may be the psychosocial risk factors for post-stroke depression.
出处
《南昌大学学报（医学版）》
CAS
2012年第2期40-43,共4页
Journal of Nanchang University：Medical Sciences
关键词
卒中后抑郁
生活事件调查表
特质应对方式问卷
社会支持评定量表
艾森克人格问卷
社会心理因素
post-stroke depression
life event scale
trait coping style questionnaire
social support rating scale
Eysenck personality questionnaire
psychosocial factors
