CAJ | 학술논문

目的：探讨成年癫痫患者抑郁的影响因素。方法选择2013年3月至2014年11月新疆兵团四师医院收治的86例成年癫痫患者作为研究对象，根据抑郁自评量表（SDS）评分将其分为研究组（≥50分）和对照组（＜50分），采用应对方式问卷、社会支持问卷、自我效能感问卷和一般情况问卷进行调查，并分析其对抑郁发生的影响作用。结果研究组 SDS 评分、幻想、自责和逃避均高于对照组，自我效能感、问题解决和求助等指标较对照组低，差异均有统计学意义（P＜0．05）。抑郁与自责、幻想、病程、退避和发作频率等因素呈正相关，与主观支持分、客观支持分、经济状况、问题解决、支持利用度、合理化、求助、自我效能和支持总分等因素呈负相关（P＜0．05）。多元逐步回归分析发现，经济状况、自我效能感、自责、求助和3个月内发作频率差异有统计学意义（P ＜0．05），对抑郁的发生影响最大。结论成年癫痫患者抑郁的发生和发展与自我效能感、应对方式和社会支持紧密相关，治疗癫痫时应给予针对性干预措施以避免抑郁发生。
목적：탐토성년전간환자억욱적영향인소。방법선택2013년3월지2014년11월신강병단사사의원수치적86례성년전간환자작위연구대상，근거억욱자평량표（SDS）평분장기분위연구조（≥50분）화대조조（＜50분），채용응대방식문권、사회지지문권、자아효능감문권화일반정황문권진행조사，병분석기대억욱발생적영향작용。결과연구조 SDS 평분、환상、자책화도피균고우대조조，자아효능감、문제해결화구조등지표교대조조저，차이균유통계학의의（P＜0．05）。억욱여자책、환상、병정、퇴피화발작빈솔등인소정정상관，여주관지지분、객관지지분、경제상황、문제해결、지지이용도、합이화、구조、자아효능화지지총분등인소정부상관（P＜0．05）。다원축보회귀분석발현，경제상황、자아효능감、자책、구조화3개월내발작빈솔차이유통계학의의（P ＜0．05），대억욱적발생영향최대。결론성년전간환자억욱적발생화발전여자아효능감、응대방식화사회지지긴밀상관，치료전간시응급여침대성간예조시이피면억욱발생。
Objective To discuss the influence factors of depression in epileptic adults .Methods 86 cases of adult patients with epilepsy were selected in the Hospital of Fourth Division ,Xinjiang Production and Construction Corps ,from March 2013 to November 2014 .The patients were divided into research group ( ≥ 50 scores) and control group (< 50 scores) ,according to SDS scores .The two groups were investigated by coping style questionnaire ,social support questionnaire ,self efficacy questionnaire and general situation questionnaire ,and the impact on depression were analyzed .Results Compared with control group ,research group had higher scores of SDS ,fantasy ,self blame and escape ,and lower scores of self‐efficacy sense ,problem solving and help seeking (P< 0 .05) .The depression was positively correlated with the scores of self‐blame ,fantasy ,duration ,withdrawal and seizure frequency ,and negatively correlated with the scores of subjective support ,objective support ,economic status ,problem solving ,utilization of support ,seeking help ,rationalization ,self‐efficacy and support(P< 0 .05) .Results of multivariate stepwise regression analysis showed that the scores of economy state ,self‐efficacy ,self‐blame and seeking help and 3‐month frequency of seizure were significantly different between two groups (P< 0 .05) ,and these factors had greatest impact on the oc‐currence of depression .Conclusion The occurrence and development of post epileptic depression in adults are closely related to self‐efficacy ,coping style and social support .Targeted intervention should be taken to avoid depression dur‐ing epilepty treatment .