老年抑郁症患者配偶心理干预效果分析  

The Effects of Psychological Intervention on the Spouses of Patients with Geriatric Depression

作　　者：梁靖[1] 付琳[2] 岳也[2] 王益婷[2] 易春丽[2] 

机构地区：[1]首都医科大学宣武医院内科门诊,中国北京100053 [2]北京大学心理学系,北京100871

出　　处：《中国健康心理学杂志》2015年第12期1776-1779,共4页China Journal of Health Psychology

基　　金：国家科技支撑计划;我国若干重点职业人群压力和职业枯竭的评估;预警与干预示范研究(编号:2009BAI77B04)

摘　　要：目的:探讨老年抑郁症患者配偶的心理干预效果。方法:纳入80例老年抑郁症患者配偶,其中完成研究的77例。评定工具包括生活质量综合评定问卷-74(成人用)(GQOLI-74)、焦虑自评量表(SAS)、抑郁自评量表(SDS)和应付方式问卷(CSQ)。给予心理干预6个月,观察干预前后的GQOLI-74、SAS、SDS和应付方式问卷评分的变化情况。结果:干预后,受试者GQOLI-74总分以及躯体健康、心理健康、社会功能各子量表的评分均较接受心理干预之前明显升高(62.17 vs.50.73,59.26 vs.45.48,65.41 vs.53.57,66.79 vs.53.25,55.31 vs.53.97);SDS和SAS总分均较接受心理干预之前明显降低(23.27 vs.46.10,24.17 vs.45.23);CSQ中求助、解决问题和合理化等子问卷的评分均较接受心理干预之前明显升高(0.57 vs.0.44,0.56 vs.0.48,0.68 vs.0.50),而退避、自责和幻想等子问卷的评分则明显降低(0.57 vs.0.75,0.48 vs.0.58,0.50 vs.0.59)。干预前后的上述差异均有统计学意义。结论:心理干预可以减轻老年抑郁症患者配偶的抑郁和焦虑情绪,提高其生活质量,并帮助其建立积极应对策略。Objective：To investigate the effects of psychological interventions on the spouses for pa-tients with Geriatric depression .Methods：68 spouses for patients with geriatric depression were enrolled and 77 of them finished the study .Before and after psychological interventions ,the subjects were evalua-ted by Generic Quality of Life Inventory -74 （ GQOLI-74 ） , Self-Rating Anxiety Scale （ SAS ） , Self-Rating Depression Scale （ SAS） and Coping Styles Questionnaire （ CSQ） .Results：After psychological inter-vention,the aggregate score and scores for physical function ,mental function and social function subscale were significantly increased （62.17 vs.50.73,59.26 vs.45.48,65.41 vs.53.57,66.79 vs.53.25, 55.31 vs.53.97）.While the total points of SDS and SAS were decreased （23.27 vs.46.10,24.17 vs. 45.23）.As for the CSQ,after the psychological intervention ,the scores of some subscales ,such as seeking help,solving problem and rationalization , were higher than those before the psychological intervention （0.57 vs.0.44,0.56 vs.0.48,0.68 vs.0.50）.However,the scores of avoidance ,self-blame and wish-ful thinking subscale were lower than those before the psychological intervention （0.57 vs.0.75,0.48 vs. 0.58,0.50 vs.0.59）.Conclusion：Psychological intervention may help the spouses of patients with geri-atric depression to relieve from the depression and anxiety ,and to improve their life quality .Furthermore , by the means of psychological intervention ,the subjects prefer to adopt active coping style rather than pas-sive coping style .

关 键 词：老年抑郁症 配偶 生活质量 抑郁 焦虑 应付方式 心理干预 

分 类 号：R395.4[哲学宗教—心理学]