女性更年期抑郁症患者心理社会因素分析  

Investigation and prevention of psychosocial factors in female menopausal depression patients

作　　者：崔新琴 高志虹[2] 李良[1] Cui Xinqin;Gao Zhihong;Li Liang(Department of Psychiatry,the Third People's Hospital of Huzhou,Huzhou,Zhejiang 313000,China;Department of Psychosomatic Family,the Third People's Hospital of Huzhou,Huzhou,Zhejiang 313000,China)

机构地区：[1]湖州市第三人民医院精神科,浙江省313000 [2]湖州市第三人民医院心身科,浙江省313000

出　　处：《中国基层医药》2020年第9期1051-1055,共5页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨女性更年期抑郁症患者心理社会因素,并研究其预防对策。方法选取2016年7月至2018年12月湖州市第三人民医院接诊的更年期抑郁症患者150例为研究组,并选取同期健康女性150例为对照组。调查比较两组心理社会因素,并研究其预防对策。结果研究组患者症状自评量表(SCL-90)总分、阳性项目数及其均分[(174.41±38.32)分、(38.94±18.21)分、(3.22±0.49)分]均明显高于对照组[(155.09±48.50)分、(30.08±20.20)分、(2.92±0.56)分],研究组患者9个因子分均明显高于对照组,差异均有统计学意义(t=2.271、2.212、2.290、2.133、2.112、1.970、3.602、3.425、2.104、1.951、2.093、2.146,P=0.038、0.030、0.022、0.017、0.017、0.018、0.006、0.004、0.015、0.015、0.013、0.012);研究组患者神经质、内外向维度得分[(6.83±2.36)分、(9.53±5.64)分]均明显低于对照组[(7.78±3.27)分、(14.21±5.31)分],差异均有统计学意义(t=1.203、4.313,P=0.021、0.002);研究组患者情绪稳定性、掩饰性维度得分[(13.39±6.01)分、(10.80±4.31)分]均明显高于对照组[(7.20±2.11)分、(6.39±2.69)分],差异均有统计学意义(t=6.896、6.210;P=0.007、0.004);研究组患者所获社会支持总分(31.66±4.61)分明显低于对照组(36.75±4.79)分,差异有统计学意义(t=4.97,P=0.003);研究组患者总生活事件及负性生活事件得分[(60.61±14.68)分、(39.02±15.27)分]均明显高于对照组[(32.09±9.20)分、(9.21±4.53)分],差异均有统计学意义(t=11.396、12.510,P=0.006、0.008)。结论女性患者更年期抑郁症与其心理社会因素密切相关,患者心理状况较差,长期处于亚健康状态。对更年期女性进行积极有效的心理干预,可以有效预防其更年期抑郁症的发生,进而提高更年期女性生活质量及水平。Objective To investigate the psychosocial factors of women with menopausal depression and to study their preventive measures.Methods From July 2016 to December 2018,150 patients with climacteric depression who admitted to the Third People's Hospital of Huzhou were selected as the study group,and 150 healthy women during the same period were selected as the control group.The psychosocial factors of the two groups were investigated and compared,and the preventive measures were studied.Results The total scores of the Symptom Checklist(SCL-90),the number of positive items and their average scores in the study group[(174.41±38.32)points,(38.94±18.21)points,(3.22±0.49)points]were significantly higher than those in the control group[(155.09±48.50)points,(30.08±20.20)points,(2.92±0.56)points],the scores of the 9 factors in the study group were significantly higher than those in the control group,and the differences were statistically significant(t=2.271,2.212,2.290,2.133,2.112,1.970,3.602,3.425,2.104,1.951,2.093,2.146;P=0.038,0.030,0.022,0.017,0.017,0.018,0.006,0.004,0.015,0.015,0.013,0.012).The neurotic(P)and internal and external(E)dimension scores of the study group[(6.83±2.36)points,(9.53±5.64)points]were significantly lower than those in the control group[(7.78±3.27)points,(14.21±5.31)points],the differences were statistically significant(t=1.203,4.313;P=0.021,0.002).The emotional stability(N)and occlusion(L)dimension scores of the study group[(13.39±6.01)points,(10.80±4.31)points]were significantly higher than those of the control group[(7.20±2.11)points,(6.39±2.69)points],the differences were statistically significant(t=6.896,6.210;P=0.007,0.004).The total score of social support[(31.66±4.61)points]in the study group was significantly lower than that in the control group[(36.75±4.79)points],the difference was statistically significant(t=4.97;P=0.003).The scores of total life events and negative events in the study group[(60.61±14.68)points,(39.02±15.27)points]were significantly higher than those

关 键 词：抑郁症 更年期 因素分析 统计学 影响因素 心理学 社会 心理疗法 女性 

分 类 号：R74[医药卫生—神经病学与精神病学]