CAJ | 학술논문

目的：探讨老年抑郁症患者配偶的心理干预效果。方法：纳入80例老年抑郁症患者配偶，其中完成研究的77例。评定工具包括生活质量综合评定问卷－74（成人用）（GQOLI－74）、焦虑自评量表（SAS）、抑郁自评量表（SDS）和应付方式问卷（CSQ）。给予心理干预6个月，观察干预前后的GQOLI－74、SAS、SDS和应付方式问卷评分的变化情况。结果：干预后，受试者GQOLI－74总分以及躯体健康、心理健康、社会功能各子量表的评分均较接受心理干预之前明显升高（62．17 vs．50．73，59．26 vs．45．48，65．41 vs．53．57，66．79 vs．53．25，55．31 vs．53．97）；SDS和SAS总分均较接受心理干预之前明显降低（23．27 vs．46．10，24．17 vs．45．23）；CSQ中求助、解决问题和合理化等子问卷的评分均较接受心理干预之前明显升高（0．57 vs．0．44，0．56 vs．0．48，0．68 vs．0．50），而退避、自责和幻想等子问卷的评分则明显降低（0．57 vs．0．75，0．48 vs．0．58，0．50 vs．0．59）。干预前后的上述差异均有统计学意义。结论：心理干预可以减轻老年抑郁症患者配偶的抑郁和焦虑情绪，提高其生活质量，并帮助其建立积极应对策略。
목적：탐토노년억욱증환자배우적심리간예효과。방법：납입80례노년억욱증환자배우，기중완성연구적77례。평정공구포괄생활질량종합평정문권－74（성인용）（GQOLI－74）、초필자평량표（SAS）、억욱자평량표（SDS）화응부방식문권（CSQ）。급여심리간예6개월，관찰간예전후적GQOLI－74、SAS、SDS화응부방식문권평분적변화정황。결과：간예후，수시자GQOLI－74총분이급구체건강、심리건강、사회공능각자량표적평분균교접수심리간예지전명현승고（62．17 vs．50．73，59．26 vs．45．48，65．41 vs．53．57，66．79 vs．53．25，55．31 vs．53．97）；SDS화SAS총분균교접수심리간예지전명현강저（23．27 vs．46．10，24．17 vs．45．23）；CSQ중구조、해결문제화합이화등자문권적평분균교접수심리간예지전명현승고（0．57 vs．0．44，0．56 vs．0．48，0．68 vs．0．50），이퇴피、자책화환상등자문권적평분칙명현강저（0．57 vs．0．75，0．48 vs．0．58，0．50 vs．0．59）。간예전후적상술차이균유통계학의의。결론：심리간예가이감경노년억욱증환자배우적억욱화초필정서，제고기생활질량，병방조기건립적겁응대책략。
Objective:To investigate the effects of psychological interventions on the spouses for pa-tients with Geriatric depression .Methods:68 spouses for patients with geriatric depression were enrolled and 77 of them finished the study .Before and after psychological interventions ,the subjects were evalua-ted by Generic Quality of Life Inventory -74 ( GQOLI-74 ) , Self-Rating Anxiety Scale ( SAS ) , Self-Rating Depression Scale ( SAS) and Coping Styles Questionnaire ( CSQ) .Results:After psychological inter-vention,the aggregate score and scores for physical function ,mental function and social function subscale were significantly increased (62.17 vs.50.73,59.26 vs.45.48,65.41 vs.53.57,66.79 vs.53.25, 55.31 vs.53.97).While the total points of SDS and SAS were decreased (23.27 vs.46.10,24.17 vs. 45.23).As for the CSQ,after the psychological intervention ,the scores of some subscales ,such as seeking help,solving problem and rationalization , were higher than those before the psychological intervention (0.57 vs.0.44,0.56 vs.0.48,0.68 vs.0.50).However,the scores of avoidance ,self-blame and wish-ful thinking subscale were lower than those before the psychological intervention (0.57 vs.0.75,0.48 vs. 0.58,0.50 vs.0.59).Conclusion:Psychological intervention may help the spouses of patients with geri-atric depression to relieve from the depression and anxiety ,and to improve their life quality .Furthermore , by the means of psychological intervention ,the subjects prefer to adopt active coping style rather than pas-sive coping style .