抑郁症复发与治疗依从性及生活事件的关系

Relation of recurrence of depression with remedial dependence and life events

目的:探讨抑郁症复发与治疗依从性、生活事件的关系。方法:采用自行设计的调查表和生活事件量表对92例复发再住院后治疗达显著进步的抑郁症患者进行调查。结果:复发再住院的患者上次出院后治疗依从性好者28例(30%),治疗依从性差者64例(70%)。治疗依从性差者其生活事件发生率高(34%,22/64),与治疗依从性好者生活事件发生率(86%,24/28)比较,差异有显著性意义(χ2=8.95,P<0.01)。结论:抑郁症患者出院后治疗依从性差是复发的重要原因,同时生活事件对复发也有一定的影响。

AIM:To explore the relation of the recurrence of depression with therapeutic dependence and life events. METHODS:Totally 92 depressive patients,who were rehospitalized because of reoccurrence and gained significant effect of treatment,were investigated with the self designed life event scales and questionnaires. RESULTS:In the patients of rehospitalization,good therapeutic dependence was found in 28 cases(30%),and the bad one in 64 cases(70%).The incidence rate of life events was high in the patients with bad dependence(34%, 22/64),significantly different from that in those with good dependence(86%,24/24)(χ2=8.95,P< 0.01).Bad therapeutic dependence is an important reason of relapse of depression,moreover the recurrence of depression is also influenced by life events.