述情障碍在吞咽困难患者抑郁与家庭支持间的中介作用

Mediating effect of alexithymia on depression in patients with dysphagia and the role of family supporta

目的调查吞咽困难患者抑郁的影响因素,并探讨述情障碍在吞咽困难患者抑郁与家庭支持间的中介作用。方法选取2019年3月—2023年9月深圳市光明区人民医院收治的128例吞咽困难患者为研究对象,通过一般资料调查表、Zung抑郁自评量表、家庭支持量表、述情障碍量表对其进行调查。采用多重线性回归分析抑郁的影响因素,采用AMOS 24.0构建结构方程模型并检验中介效应。本研究共发放问卷128份,回收有效问卷126份,有效回收率为98.44%。结果126例吞咽困难患者抑郁症平均得分为(68.57±17.43)分,并发抑郁症共83例,并发率为65.87%。Pearson相关性分析显示,家庭支持与抑郁呈负相关,而述情障碍与抑郁呈正相关(P<0.05)。多重线性回归分析显示,家庭支持、述情障碍、年龄、婚姻状况和病程均是吞咽困难患者并发抑郁症的影响因素(P<0.05)。结构方程模型分析显示,述情障碍在吞咽困难患者抑郁与家庭支持间发挥部分中介效应,中介效应值为-0.395,占比57.92%。结论吞咽困难患者抑郁症并发率高,家庭支持、述情障碍、年龄、婚姻状况和病程均是影响因素;述情障碍在吞咽困难患者抑郁与家庭支持间发挥部分中介效应,可制定具有针对性的干预措施,以改善患者抑郁状态。

Objective To investigate the influencing factors of depression in patients with dysphagia and to explore the mediating effect of alexithymia between depression and family support in these patients.Methods A total of 128 patients with dysphagia admitted to Shenzhen Guangming District People's Hospital from March 2019 to September 2023 were selected as research subjects.They were surveyed using a general information questionnaire,Zung Self-Rating Depression Scale,Family Support Scale,and Alexithymia Scale.Multiple linear regression analysis was employed to analyze the influencing factors of depression,and AMOS 24.0 was adopted to construct a structural equation model to test the mediating effect.A total of 128 questionnaires were distributed,and 126 valid questionnaires were returned,leading to an effective recovery rate of 98.44%.Results The average score for depression in the 126 patients with dysphagia was(68.57±17.43)points,with 83 cases complicated by depression,giving a prevalence rate of 65.87%.Pearson correlation analysis showed that family support was negatively correlated with depression,while alexithymia was positively correlated with depression(P<0.05).Multiple linear regression analysis indicated that family support,alexithymia,age,marital status,and disease duration were all influencing factors in patients with dysphagia complicated by depression(P<0.05).Structural equation model analysis revealed that alexithymia exerts a partial mediating effect between depression and family support in patients with dysphagia,with a mediating effect value of-0.395,accounting for 57.92%.Conclusion The prevalence rate of patients with dysphagia complicated by depression remains high,and factors such as family support,alexithymia,age,marital status,and disease duration are all influencing factors.Alexithymia plays a partial mediating role between depression and family support in patients with dysphagia,and targeted intervention measures can be formulated to ameliorate the patients'depressive state.