邢台山区老年脑卒中后抑郁患病情况及其与人格特征和应对方式的相关性  

Prevalence of senile post stroke depression and its correlations with personality characteristics and coping styles in mountain area in Xingtai

作　　者：弓学敏 孙丽丽 乔宇 王长虹[3] 

机构地区：[1]河北省邢台县中心医院,河北邢台054000 [2]邢台县路罗中心卫生院 [3]邢台医学高等专科学校流行病教研室

出　　处：《实用预防医学》2016年第10期1222-1225,共4页Practical Preventive Medicine

摘　　要：目的调查邢台山区老年脑卒中后抑郁的患病率,探索其与人格特征和特质应对方式的关系,为老年脑卒中后抑郁的防治提供依据。方法于2015年2-5月,采用分层抽样抽取邢台山区老年脑卒中患者682例,用汉密尔顿抑郁量表17项(HAMD-17)、艾森克人格问卷(EPQ)和特质应对方式问卷(TCSQ)进行现况调查,采用t检验、相关和多重线性回归分析老年脑卒中后抑郁患者的人格特征和应对方式。结果 (1)邢台山区老年脑卒中后抑郁的患病率为31.67%,轻度抑郁患病率为16.42%;中度抑郁患病率为11.58%;重度抑郁患病率为3.67%。(2)老年脑卒中后抑郁患者和老年脑卒中非抑郁患者人格特征四个维度(精神质、内外向、神经质和掩饰性)得分差异均有统计学意义(P<0.05);(3)邢台山区老年脑卒中后抑郁患者和老年脑卒中非抑郁患者积极应对和消极应对得分差异均有统计学意义(P<0.05);(4)多重线性回归分析显示复相关系数(R)为0.67,汉密尔顿抑郁量表17项得分与精神质量表得分、神经质量表得分、掩饰性量表得分及消极应对方式得分呈正相关(P<0.05),与内外向量表得分和积极应对方式得分呈负相关(P<0.05)。结论邢台山区老年脑卒中后抑郁的患病率不高,其发生与神经质和内向人格特征有关,消极应对方式是老年脑卒中后抑郁的危险因素。Objective To investigate the prevalence of senile post stroke depression in mountain area in Xingtai and its correlations with personality characteristics and trait coping styles, so as to provide reference for the prevention of senile post stroke depression. Methods Totally, 682 elderly patients of stroke were selected by stratified sampling in mountain area in Xingtai from February to May , 2015. They were surveyed by the 17 - item Hamilton Rating Scale for Depression （ HAMD - 17）, Eysenck Personality Questionnaire （EPQ） and Trait Coping Style Questionnaire （TCSQ） Their personality characteristics and trait coping styles were analyzed by t test , correlation analysis and multiple linear regression analysis. Reasults The prevalence rate of senile post stroke depression in the mountain area in Xingtai in 2015 was 31.67%. The prevalence rates of mild, moderate and severe depression was 16,42%, 11.58% and 3.67% respectively. The personality characteristics of the patients with senile post stroke depression were different from those of the elderly patients of stroke without depression in four dimensions including psychotieism, introversion and extroversion, neuroticism and mask （P 〈 0. 05）. The score of positive coping style and negative coping style of the patients with senile post stroke depression were different from those of the elderly patients of stroke without depression （P 〈 0.05）. The multiple correlation coefficient （R） was 0.67 by the multiple linear regression analysis. The scores of HAMD - 17 were positively correlated with the scores of psychoticism scale, neuroticism scale, mask scale and negative coping style （ P 〈 0.05） , and were negatively correlated with the scores of introversion and extroversion scale and positive coping style （P 〈 0.05）. Conclusions The prevalence of senile post stroke depression in mountain area in Xingtai is not high. It is associated with neuroticism and introverted personality. Negative coping style is a risk factor for senile post -

关 键 词：老年脑卒中后抑郁 患病率 人格特征 特质应对方式 

分 类 号：R395.6[哲学宗教—心理学]