帕金森病患者心理一致感与抑郁、应对方式相关性研究

A study on the relativity among the " sense of coherence",depression and coping style in patients with Parkinson's disease

目的：探讨帕金森病（PD）患者心理一致感和抑郁、应对方式之间的关系。方法：选取2009年12月～2012年5月40例PD患者作为观察组，选取同期40例非神经系统疾病作为对照组，使用心理一致感量表（ SOC-13）、汉密尔顿抑郁量表（ HAMD）、医学应对方式问卷（MCMQ）对两组进行调查问卷及分析。结果：观察组SOC-13、HAMD、MCMQ得分高于对照组（P＜0．05），采取回避及屈服应对方式较对照组多、面对应对方式较对照组少（P＜0．05），心理一致感和面对应对方式成正相关、与抑郁、屈服和回避应对方式成负相关（ P＜0．05）。结论：治疗PD伴发抑郁患者，应提高心理一致感、PD患者应对能力，改善其生活质量。

Objective：To explore the relativity among the ＂sense of coherence＂ ,depression and coping style in patients with Parkinson disease （PD）. Methods ：40 patients with PD （from December 2009 to May 2012） were taken as the observation group ;other 40 patients with chronic non - nerological disease were taken as the control group. The sense of coherence scale （ SOC - 13 ） , Hamilton Depression Scale （ HAMD ） and medical coping modes questionnaire （ MCMQ ） were used to conduct a questionnaire survey on the patients in both groups and to make a statistical analysis. Results：The scores of SOC - 13, HAMD and MCMQ were higher in the observation group than the control group （P 〈 0.05） ;the coping styles of avoidance and resignation were more used and the coping style of confrontation was less used by the patients in the observation group compared with the control group （ P 〈 0.05 ） ; the sense of coherence was positively correlated with the coping style of confrontation and was negtively correlated with the coping styles of depression, avoidance and resignation （ P 〈 0.05 ）. Conclusion ： In the treatment of PD patients with depression, the sense of coherence and coping ability should be enhanced so as to improve their quality of life.