社会支持及家庭亲密度和适应性对支气管哮喘患儿照顾者抑郁症状的影响

Effects of social support and family closeness and adaptability on depressive symptoms in caregivers of children with bronchial asthma

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(2)
作者
作者单位

河北北方学院附属第二医院,儿科 ;

摘要
【摘要】 探讨社会支持及家庭亲密度和适应性对支气管哮喘患儿照顾者抑郁症状的影响。方法 选取并调查2021年1月至2023年1月在我院收治的84例支气管哮喘患儿照顾者,依据抑郁自评量表(Self-rating depression Scale,SDS)评估照顾者抑郁程度,将SDS评分<53分的照顾者归为单纯患儿照顾者组(n=50),SDS评分≥53分的照顾者归为患儿照顾者合并抑郁组(n=34)。对比两组社会支持评定量表(Social Support Rating Scale,SSRS)评分、家庭亲密度和适应性量表(Family Adaptability and Cohesion Scale,FACES Ⅱ)评分,Pearson分析哮喘患儿照顾者抑郁与社会支持、家庭亲密度和适应性的相关性。结果 患儿照顾者合并抑郁组主观支持、客观支持及对支持的利用度得分显著低于单纯患儿照顾者组(P<0.05);患儿照顾者合并抑郁组实际亲密度、理想亲密度、实际适应性及理想适应性评分显著低于单纯患儿照顾者组,而亲密度不满意度评分显著高于单纯患儿照顾者组(P<0.05);抑郁得分与亲密度不满意度因子得分呈正相关,与社会支持、实际亲密度、理想亲密度、实际适应性及理想适应性因子得分呈负相关(P<0.05)。结论 支气管哮喘患儿照顾者抑郁及家庭亲密度和适应性与社会支持存在明显相关性,患儿照顾者抑郁症状越严重,社会支持状态则越差,亲密度和适应性越低。
Abstract
【Abstract】Objective To explore the effects of social support, family closeness and adaptability on depressive symptoms in caregivers of children with bronchial asthma.Methods A total of 84 caregivers of children with bronchial asthma admitted to our hospital from January 2021 to January 2023 were selected and investigated. The severity of depression in caregivers was evaluated using the Self Rating Depression Scale (SDS). Caregivers with SDS scores less than 53 were assigned to the simple caregiver group (n=50), while caregivers with SDS scores ≥ 53 were assigned to the caregiver group with concurrent depression (n=34).Comparing two groups of Social Support Rating Scale (SSRS) scores and Family Adaptability and Cohesion Scale (FACES II) scores, Pearson analyzed the correlation between depression in caregivers of asthma children and social support, family intimacy, and adaptability..Results The scores of subjective support, objective support, and utilization of support in the group of caregivers with depression were significantly lower than those in the group of caregivers with only depression (P<0.05).The scores of actual intimacy, ideal intimacy, actual adaptability, and ideal adaptability in the group of caregivers with depression were significantly lower than those in the group of caregivers with only children, while the scores of dissatisfaction with intimacy were significantly higher than those in the group of caregivers with only children (P<0.05).Depression score is positively correlated with the score of intimacy dissatisfaction factor, and negatively correlated with social support, actual intimacy, ideal intimacy, actual adaptability, and ideal adaptability factor scores (P<0.05).Conclusion There is a significant correlation between depression, family intimacy and adaptability, and social support in caregivers of children with bronchial asthma. The more severe the depression, the poorer the social support status, and the lower the intimacy and adaptability.
关键词
【关键词】支气管哮喘;照顾者;社会支持;抑郁;家庭亲密度和适应性
KeyWord
【Key words】Bronchial asthma; Caregivers; Social support; Depression; Family adaptability and cohesion
基金项目
页码 594-596
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侯凤香*. 社会支持及家庭亲密度和适应性对支气管哮喘患儿照顾者抑郁症状的影响 [J]. 国际精神病学杂志. 2024; 51; (2). 594 - 596.

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