生命意义感对抑郁障碍患者生活质量的影响  

Effect of sense of life on quality of life in patients with depressive disorder

作　　者：徐良雄[1] 石聿树 熊昌娥[1] 刘祖松[1] 黄翠萍[1] 曾德志[1] 孟素华 孙晓璐 XU Liangxiong;SHI Yushu;XIONG Change(The Second Affiliated Hospital of Hubei Institute of Technology,Xianning437100,China)

机构地区：[1]湖北科技学院附属第二医院(临床医学院),中国湖北咸宁437100 [2]咸宁归真司法鉴定中心 [3]咸宁实验外国语学校

出　　处：《中国健康心理学杂志》2020年第2期173-176,共4页China Journal of Health Psychology

基　　金：国家自然科学基金(编号:71503075);湖北省卫生计生委科研项目(编号:WJ2017F114);湖北科技学院科研项目(编号:2016-18X036);湖北科技学院科研项目(编号:LCZX201508)

摘　　要：目的:探讨生命意义感对抑郁障碍患者生活质量影响。方法:将60例抑郁障碍患者按照随机数字表法分两组,对照组进行药物治疗,研究组在药物治疗同时进行生命意义感等心理康复干预。分别用汉密尔顿抑郁量表(HAMD-17)、生命意义量表(MLQ)、生活质量问卷(SF-12)对干预后两组患者精神状态、生命意义感水平及生活质量进行评定和比较。结果:为期12周生命意义感干预后,研究组在HAMD-17评分明显低于对照组(t=-4.886,P<0.01),研究组在MLQ总分观察维度评分上高于对照组(t=9.326,P<0.01);在存在意义感维度评分上高于对照组(t=7.549,P<0.01);在寻求意义感维度评分上高于对照组(t=5.893,P<0.01);研究组SF-12生理及心理总评分显著高于对照组,有统计学意义(t=2.614,4.483;P<0.05)。结论:生命意义感干预能够很好促进患者管理自己情绪,改善家庭与社会功能,显著降低复发率、提升患者积极情绪和生活质量,回归社会。Objective:To explore the effect of sense of life on the quality of life of patients with depression.Methods:Sixty patients with depression were divided into two groups according to the random number table method.The control group was treated with drug,while the research group was treated with psychological rehabilitation intervention such as sense of life.Hamilton Depression Scale(HAMD-17),the Meaning in Life Questionnaire(MLQ)and Quality of Life Questionnaire(SF-12)were used to evaluate and compare the mental status,sense of life and quality of life of the two groups after intervention.Results:After 12 weeks of intervention,the HAMD-17 score in the study group was significantly lower than that in the control group(t=-4.886,P<0.05).The observation dimension score of the total score of MLQ in the study group was higher than that in the control group(t=9.326,P<0.01),The score of presence of meaning dimension was higher than that of control group(t=7.549,P<0.01),and the score of search for meaning dimension was higher than that of control group(t=5.893,P<0.01).The physical component summary and psychological component summary score of SF-12 in the study group were significantly higher than those in the control group(t=2.614,4.483;P<0.05).Conclusion:Meaning of life intervention can promote patients to manage their own emotions,improve family and social functions,significantly reduce the recurrence rate,improve patients’ positive emotions and quality of life,and return to society.

关 键 词：抑郁障碍 生命意义感 生活质量 回归社会 

分 类 号：R749.4[医药卫生—神经病学与精神病学]