CAJ | 학술논문

目的探讨社会支持、应对方式与脑卒中后抑郁发生之间的关系.方法采用病例对照研究,应用Zung抑郁量表、社会支持量表及应付方式问卷等工具评定31例脑卒中后伴明显抑郁症状的患者,并与39例不伴明显抑郁症状的脑卒中患者进行对照.结果在社会支持总评分、客观支持评分、主观支持评分抑郁组均低于非抑郁组,有统计学差异显著性(P<0.05).社会支持利用度评分无统计学差异显著性.非抑郁组的积极应对得分高于抑郁组(P<0.01);而消极应对得分无统计学差异显著性.结论不适当的应对方式和缺乏社会支持可能是影响脑卒中后抑郁发生的心理社会因素.
목적 탐토사회지지、응대방식여뇌졸중후억욱발생지간적관계.방법 채용병례대조연구,응용Zung억욱량표、사회지지량표급응부방식문권등공구평정31례뇌졸중후반명현억욱증상적환자,병여39례불반명현억욱증상적뇌졸중환자진행대조.결과 재사회지지총평분、객관지지평분、주관지지평분억욱조균저우비억욱조,유통계학차이현저성(P<0.05).사회지지이용도평분무통계학차이현저성.비억욱조적적겁응대득분고우억욱조(P<0.01);이소겁응대득분무통계학차이현저성.결론 불괄당적응대방식화결핍사회지지가능시영향뇌졸중후억욱발생적심리사회인소.
Objective To explore social support and coping style in patients with stroke,and find the relations with depressive symptoms. Methods The study involved 31 patients with stroke having obvious depressive symptoms, 39 patients without obvious depressive symptoms. They were evaluated with Zung Depression Rating Scale, Social Support Rating. and Coping Style Questionnaire. Results The scores of social support,subjective support in patients with depressive symptoms were significantly lower than those of patients without depression symptoms. There were no significant differences in utilization degree of social support and passive copying be-tween two groups. The score of positive coping in patients without depressive symptoms was significantly lower than that in patients with depressed. Conclusion The main psychosocial factors that influence depressive symptoms after stroke are unsuitable methods of coying and lack of social support.