SLE患者抑郁与社会支持及应对方式的相关性

Correlation of Depression with Social Support and Coping Styles in SLE Patients

目的探讨社会支持和应对方式对SLE患者抑郁情绪的影响。方法采用社会支持评定量表(SSRS)、医学应对方式问卷(MCMQ)和抑郁自评量表(SDS)对76例SLE患者的社会支持和应对方式与抑郁情绪进行调查。结果 76例SLE患者中,有抑郁症状64例,无抑郁症状12例,抑郁自评量表评分结果显示,有抑郁组为(55.05±5.26),无抑郁组为(32.33±3.68),两组对比具有显著性差异(P<0.05)。社会支持评定量表评分结果显示,无抑郁组社会支持度评分均高于有抑郁组(P<0.05)。医学应对方式问卷评分结果显示,无抑郁组的面对得分高于有抑郁组(P<0.05),而回避和屈服得分无显著性差异。结论 SLE患者抑郁发生率较高,社会支持利用度较低。建立良好社会支持系统和有效应对方式可以较好改善SLE患者的抑郁情绪。

Objective To investigate the influence of social support and coping styles on SLE patients with depression. Methods Social Support Rating Scale（SSRS）, Medical Coping Method Questionnaire（MCMQ） and Self-Rating Depression Scale（SDS） were adopted in 76 patients with SLE to conduct a survey on social support, coping styles and depression emotion. Results Among 76 pa- tients with SLE,64 cases had depressive symptoms and 12 cases without any depressive symptoms, the results of the Self-rating De- pression Scale Score showed 55.05 ~ 5.26 in the depression group,and 32.33 ~ 3.68 in the no depression group,there was a signifi- cant difference（ P 〈 0.05）between the two groups. Social Support Rating Scale scoring showed that scores of social support in no de- pression group were higher than that in the depression group（ P 〈 0.05）. The scoring results of Medical Coping Style Questionnaire showed that the patients who could face their problems in the non-depressed group scored higher than those who could not in the de- pression group（ P 〈 0.05）, while the patients who refused to face and yielded their problems scored no significant difference. Conehl- sion SLE patients have a higher incidence of depression which lead their lower utilization of social support. The establishment of a good social support system, and effective coping styles can effectively improve the depressed mood of SLE patients.