脑卒中后抑郁与社会支持应对方式关系的研究  

Relations of social support and coping style with depressive symptoms in patients after stroke.

作　　者：张勇军[1] 张献共[1] 

机构地区：[1]北京大学深圳医院临床心理门诊,广东深圳518036

出　　处：《精神医学杂志》2009年第4期273-275,共3页Journal of Psychiatry

摘　　要：目的探讨社会支持、应对方式与脑卒中后抑郁发生之间的关系。方法采用病例对照研究,应用Zung抑郁量表、社会支持量表及应付方式问卷等工具评定31例脑卒中后伴明显抑郁症状的患者,并与39例不伴明显抑郁症状的脑卒中患者进行对照。结果在社会支持总评分、客观支持评分、主观支持评分抑郁组均低于非抑郁组,有统计学差异显著性(P<0.05)。社会支持利用度评分无统计学差异显著性。非抑郁组的积极应对得分高于抑郁组(P<0.01);而消极应对得分无统计学差异显著性。结论不适当的应对方式和缺乏社会支持可能是影响脑卒中后抑郁发生的心理社会因素。Objective To explore social support and coping style in patients with stroke,and find the relations with depressive symptoms. Methods The study involved 31 patients with stroke having obvious depressive symptoms, 39 patients without obvious depressive symptoms. They were evaluated with Zung Depression Rating Scale, Social Support Rating. and Coping Style Questionnaire. Results The scores of social support,subjective support in patients with depressive symptoms were significantly lower than those of patients without depression symptoms. There were no significant differences in utilization degree of social support and passive copying between two groups. The score of positive coping in patients without depressive symptoms was significantly lower than that in patients with depressed. Conclusion The main psychosocial factors that influence depressive symptoms after stroke are unsuitable methods of coying and lack of social support.

关 键 词：脑卒中 应对方式 社会支持 

分 类 号：R749.4[医药卫生—神经病学与精神病学]