2型糖尿病患者感知社会支持与抑郁的关系研究

Correlation between perceived social support and depression status in patients with type 2 diabetes mellitus

目的了解2型糖尿病患者的抑郁与感知社会支持的现状,并探讨两者之间的相关性。方法选取株洲市242例2型糖尿病患者为研究对象,采用一般情况表、抑郁自评量表(SDS)和社会支持量表(MSPSS)对患者进行问卷调查和相关性分析。结果本组患者抑郁发生率46.3%;感知社会支持总得分(4.96±1.17)分;抑郁患者在感知社会支持总分及各维度得分均低于无抑郁组,差异有统计学意义(P<0.01),其感知社会支持与抑郁呈负相关。结论 2型糖尿病患者的感知社会支持得分越高,抑郁分数越低,应重视社会支持系统对抑郁的作用。

Objective To study the status of depression and perceived social support and to explore the correlation between them in patients with type 2 diabetes. Methods A number of 242 cases with type 2 diabetes were assessed with personal information questionnaire, Zung Self-Rating Depression Scale （ZSDS） and Multidimensional Scale of Perceived Social Support （MSPSS）. The correlation between depression and perceived social support was analyzed by Pearson correlation and Stepwise multiple regression analysis. Results The prevalence of depression was 46.3% and total score of perceived social support in patients with type 2 diabetes was （4.96 ± 1.17）; the scores of social support and each dimension in depression group were lower than those without depression group, and the difference was sta- tistically significant （P 〈 0.01）; a significant negative correlation was found between depression and social support. Conclusions More adequate social support is associated with lower level of depression in patients with type 2 dia- betes. We should pay more attention to the role of social support system in depression.