探讨社会支持应对方式及社会事件对抑郁症的影响

Exploring the Impact of Social Support Coping Styles and Social Events on Depression

目的观察抑郁症患者在应对方式、社会支持以及生活事件方面与健康人的差异。方法选取2018年9月~2019年2月石河子大学医学院第一附属医院康复心理科住院的抑郁症患者30例作为病例组。另选取同时期本院健康体检者30例为对照组。使用简易应对方式问卷(SCSQ)、社会支持量表(SSRS)以及生活事件量表(LES)进行测评并比较。结果病例组SCSQ总分及积极应对方式得分小于对照组,差异具有统计学意义(P<0.05);病例组SSRS总分及客观支持、支持利用度评分低于对照组,差异具有统计学意义(P<0.05);病例组LES总分及家庭生活、社交及其他评分高于对照组,差异具有统计学意义(P<0.05)。结论在日常生活中受到来自家庭生活方面和社交方面的刺激事件可能更容易引起抑郁症的发生,给予更多的社会支持,提高患者对社会支持的利用度以及在处理事件中选取积极的应对方式,将有助于降低抑郁症的发生。

Objective To observe the differences between patients with depression in terms of coping style,social support and life events.Methods 30 patients with depression who were admitted to the Department of Rehabilitation and Psychology,the First Affiliated Hospital of Shihezi University Medical College from September 2018 to February 2019 were selected as case groups.Another 30 healthy subjects in the same period were selected as the control group.The simple coping style questionnaire(SCSQ),the social support scale(SSRS),and the life event scale(LES)were used for evaluation and comparison.Results The scores of SCSQ and positive coping styles in the case group were smaller than those in the control group,the difference was statistically significant(P<0.05).The SSRS total score and objective support and support utilization scores in the case group were lower than those in the control group,the difference was statistically significant(P<0.05);LES total score and family life,social and other scores in the case group were higher than the control group,the difference was statistically significant(P<0.05).Conclusion In daily life,family life and social stimuli may be more likely to cause depression,give more social support,improve patient access to social support,and selecting positive coping styles in dealing with incidents,this will help reduce depression.