社会支持和应对方式与脑卒中后抑郁的关系

A study of the relationship between coping styles as well as social supports and patients with post-stroke depression

目的:探讨社会支持和应对方式与脑卒中后抑郁(PSD)的关系。方法:30例PSD患者为PSD组,42例脑卒中后无抑郁患者为对照组,以医学应对问卷(MCMQ)、社会支持评定量表(SSRS)和Barthel指数(BI)为评定工具,对两组患者分别进行评定。结果:PSD组MCMQ的面对量表分显著低于对照组(P<0.05),而PSD组屈服量表分显著高于对照组(P<0.01)。PSD组的SSRS评分显著低于对照组(P<0.01)。两组BI评分差异无显著性(P>0.05)。结论:有针对性的心理教育性干预并加强社会支持可能对防治PSD起重要作用。

Objective：To study the relationship between social supports as well as coping styles and patients with post-stroke depression（PSD）. Method：Thirty patients with post-stroke depression enrolled as PSD group,fortytwo patients with post-stroke without depression as control group, were assessed with MCMQ, social support rating scale （SSRS） and Barthel index（BI）. Results：The score of confrontation in MCMQ was significantly lower （P 〈 0.05）, while resignation scores higher in PSD group when compared with those in control group （ P 〈 0.01 ）. The score of SSRS was significantly lower in PSD group than that in control group （P 〈 0.01）.There was no significant difference in the score of BI between the two groups （ P 〉 0.05）. Conclusion： Purposefully psycho-educational intervention and strengthening social support can play an important role in the prevention of post-stroke depression.