抑郁症患者家属心理健康水平、应对方式及社会支持的现状  

Present situation of mental health level,coping styles and social support in depressed patients' families

作　　者：张彦坤 刘磊[2] 陈振杰 李水洪 陈贻华 徐秀梅 甘露春 

机构地区：[1]广东省中山同方医院心理科,528400 [2]广州市第一人民医院心理科 [3]中山市第三人民医院精神科

出　　处：《临床精神医学杂志》2016年第4期260-262,共3页Journal of Clinical Psychiatry

基　　金：中山市医学科研项目(2014A020114)

摘　　要：目的:探讨抑郁症患者家属的心理健康水平、应对方式及社会支持水平。方法:对与抑郁症患者同住的150名家属进行症状自评量表(SCL-90)、简易应对方式问卷(SCSQ)和社会支持评定量表(SSRS)评估,并与全国常模的数据比较。结果:抑郁症患者家属SCL-90总分及躯体化、抑郁、焦虑、精神病性因子分明显高于全国常模(P均<0.05);SCSQ中积极的应对方式得分明显低于全国常模,而消极方式得分明显高于全国常模(P均<0.05);SSRS中男性家属客观支持、主观支持、支持利用评分及女性家属客观支持评分明显低于全国常模(P均<0.05)。结论:抑郁症患者家属心理健康水平较差,社会支持少,多采取消极的应对方式;他们需要心理干预。Objective： To explore the present situation of mental health level, coping styles and social support in depressed patients＇ families. Method：One hundren and fifty families living with depressive patients were assessed by symptom checklist 90 （SCL-90）, simplified coping style questionnaire（SCSQ） and social support rating scale （SSRS）. The results were compared with the data of national norm. Results： The total score of SCL-90 and factor scores of somatization,depression, anxiety and psychoticism in patients families were significantly higher than the data of national norm（ all P 〈 0.05 ） ; the score of positive coping style in SCSQ was significantly lower and score of negative coping style was significantly higher than the data of national norm （ all P 〈 0.05 ） ; the scores of objective support, subjective support and support utilization grading in SSRS in male of patients families and objective support in female of patients families were significantly higher than the data of national norm （ all P 〈 0.05）. Conclusion： The level of mental health of depressed patients＇families is worse as well as less social support and more negative coping styles. They need psychological interventions.

关 键 词：抑郁症患者家属 心理健康 社会支持 应对方式 

分 类 号：R749.4[医药卫生—神经病学与精神病学]