抑郁障碍患者躯体化症状的问卷调查及其社会支持的相关性研究  

Correlation between somatic symptoms and social support in patients with depressive disorder

作　　者：陈丽 贾守梅 赵缨[1] 施忠英[2] 陆月梅 李萍[3] 赵琦[4] 苗宇 李洋 Chen Li;Jia Shoumei;Zhao Ying;Shi Zhongying;Lu Yuemei;Li Ping;Zhao Qi;Miao Yu;Li Yang(School of Nursing,Fudan University,Shanghai 200032,China;Shanghai Mental Health Center,Shanghai 200030,China;Putuo District Mental Health Center,Shanghai 200065,China;School of Public Health,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学护理学院,上海200032 [2]上海市精神卫生中心,200030 [3]上海市普陀区精神卫生中心,200065 [4]复旦大学公共卫生学院,上海200032

出　　处：《中华全科医师杂志》2019年第11期1075-1080,共6页Chinese Journal of General Practitioners

基　　金：美国中华医学基金会护理青年教师科研基金项目(13-168-201603)。

摘　　要：目的了解抑郁障碍患者的躯体化症状发生情况及其与社会支持的相关性.方法2016年11月至2017年9月对上海市精神卫生中心、上海市普陀区精神卫生中心住院治疗的214例抑郁障碍患者,采用躯体化症状问卷(SSI)、修订版家庭支持自评量表(PSS-Fa)、社会支持评定量表(SSRS)和一般情况问卷进行横断面问卷调查.214例中,143例(66.8%)为单相抑郁障碍、71例(33.2%)为双相情感障碍抑郁发作.结果214例患者的SSI总分为(49.63±15.53)分,26.2%(56/214)为中、重度,中、重度比例较高的躯体化症状条目主要为一直感觉乏力、虚弱或疲劳61.2%(131/214)、感觉身体某些部分比较虚弱49.5%(106/214),过去一两年大多时间都感觉不好47.7%(102/214),感觉头晕乏力48.6%(104/214),便秘29.9%(64/214)等.SSI总分、非疼痛维度评分[(39.05±12.14)分]与家庭支持量表评分[(11.03±3.45)分]呈负相关(r=-0.150,P=0.03;r=-0.153,P=0.02),SSI总分、疼痛维度[(10.58±4.18)分]和非疼痛维度评分均与SSRS总分[(33.24±7.16)分]、主观支持维度评分[(19.14±4.81)分]呈负相关(r=-0.164,P=0.02;r=-0.183,P=0.01;r=-0.136,P<0.05;r=-0.167,P=0.02;r=-0.163,P=0.02;r=-0.177,P=0.01),SSI总分、非疼痛维度评分与支持利用度评分呈负相关(r=-0.179,P=0.01;r=-0.194,P=0.01).结论抑郁障碍患者的躯体化症状较为普遍和严重,与社会支持下降,尤其是主观支持及社会支持利用度低密切相关.Objective To investigate the prevalence of somatization symptoms and its correlation with social support in patients with depressive disorder.Methods Two hundred and fourteen hospitalized patients with depressive disorder were recruited.Patients were evaluated with Somatic Symptom Inventory(SSI),Perceived Social Support from Family Scale(PSS-Fa),Social Support Rating Scale(SSRS)and the general questionnaire.Results The average SSI scores of depressive patients was 49.63±15.53,with 26.2%(56/214)of the patients having moderate to severe level of somatic symptoms.The most common moderate to severe somatic symptoms in depressive patients were"feeling fatigued(61.3%,131/214),weak(49.5%,106/214),not feeling well(47.7%,102/214),feeling faint or dizzy(48.6%,104/214),or constipation(29.9%,64/214)".The average SSRS scores of patients was low(33.24±7.16).The SSI scores and its non-painful dimension(39.05±12.14)were significantly negatively correlated with family support(11.03±3.45)(r=-0.150,P=0.03;r=-0.153,P=0.02).The SSI scores,and its somatization dimension scores(49.63±15.53)and painful dimension scores(10.58±4.18)were negatively correlated with the total scores of social support(33.24±7.16)(r=-0.164,P=0.02;r=-0.183,P=0.01;r=-0.136,P<0.05)and subjective support(19.14±4.81)(r=-0.167,P=0.02;r=-0.163,P=0.02;r=-0.177,P=0.01).The SSI scores and its non-painful dimension of patients were negatively correlated with support utilization(r=-0.179,P=0.01;r=-0.194,P=0.01).Conclusion Somatic symptoms are prevalent and severe in patients with depressive disorder.The somatic symptoms of depressive patients was closely correlated with decreased social support,especially low subjective support and support utilization.

关 键 词：抑郁障碍 躯体化症状 社会支持 

分 类 号：R47[医药卫生—护理学]