焦虑、抑郁和焦虑抑郁障碍共病心理社会因素分析及护理研究

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焦虑、抑郁和焦虑抑郁障碍共病心理社会因素分析及护理研究

张云;闫美英;吴春荣

【期刊名称】《国际护理学杂志》 【年(卷),期】2009(028)005

【摘 要】目的 探讨焦虑、抑郁和焦虑抑郁障碍共病的相关因素,阐明心理社会因素对焦虑、抑郁和焦虑抑郁障碍共病的影响,旨在寻求有效的护理对策,对患者实施早期心理干预,改善患者的心理状态,提高患者的生存质量.方法 利用生活事件量表(LES)、社会支持评定量表(SSRS)、家庭环境量表中文版(FES-CV)、艾森克个性问卷(EPQ)、防御方式问卷(DSQ)对57名患者进行调查评定,部分指标与国内常模或正常对照组比较.结果 (1)抑郁、焦虑、共病组负性生活事件频度及生活事件总频度得分均高于正常对照组,有统计学意义(P<0.05);而3组患者之间负性生活事件得分比较无显著差异(P>0.05);(2)共病组、抑郁组、焦虑组社会支持分均显著高于正常对照组(P<0.05);共病组社会支持分显著高于抑郁组,而与焦虑组无显著差别;(3)共病组存在家庭功能缺陷,但显著较抑郁组和焦虑组为轻;(4)抑郁组、焦虑组和共病组神经质得分均显著高于正常对照组(P<0.05),而3组之间的EPQ各因子分比较无统计学意义;(5)DSQ结果示,3组患者不成熟防御机制和中间型防御机制得分显著高于正常对照组(P<0.05);抑郁组成熟防御机制均分低于共病组、焦虑组和正常组(P<0.05).结论 抑郁、焦虑和焦虑抑郁共病有着很多相似之处,都与心理社会因素有着密切的相关性,但又有各自的临床特点和表现形式,应针对其特点,有的放矢,实施合理有效的护理措施.%Objective To explore the correlation factors of depression, anxiety disorder and comorbidity of anxiety and depression (CAD), to elucidate the influence of psychosocial factor upon CAD,


depression and anxiety disorder, and to find the actively valid nursing measures, which carry out the earlier period mental intervention to the patients and improve the patients'mental symptoms, raise the

patlents'existence quality. Methods 57 patients were interviewed in semi - structured manner with LES, SSRS, FES - CV, EPQ, DSQ, and some of these indexes of patients were compared with norms or those of normal control group. Results (1) The negative life scores of three groups were higher than those of normal control group;there were no significant differences in negative llfe event among three groups. (2) The social support scores of three groups were sigaificantly higher than those of normal control group;the social support score of CAD group was higher than that of depression group, but was no significantly different with anxiety group. (3) CAD group had family function deficits, but was less severe than that in depression group and anxiety group. (4) The N factor scores (EPQ) of three groups were significantly higher than those of norm;but there was no statistical significances among three groups in each factor of EPQ scores. (5) The immature defence mechanisms score and intermediate type defence mechanisms score of depression group, anxiety group and CAD group were significantly higher than norm. Compared with CAD group, anxiety group and norm, depression group had significantly lower scores for mature defence mechanisms. Conclusions CAD, ' pure' major

depression and ' pure' anxiety disorder have lots of likeness, but each one has its own clinical characteristics and manifestations. Each patient should be given different nursing.


【总页数】4页(P591-594) 【作 者】张云;闫美英;吴春荣

【作者单位】272051,山东省济宁市精神病防治院2病房;272051,山东省济宁市精神病防治院2病房;272051,山东省济宁市精神病防治院2病房 【正文语种】中 文

【中图分类】R473.74;R471 【相关文献】

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