《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (5): 470-473.

• 论文 • 上一篇    下一篇

社会支持、应对方式和自我效能感对成年癫痫后抑郁的影响

焦东亮1，许华山1，汪恩焕2a，高艳2b,魏婷婷2b   

  1. 1.安徽省蚌埠医学院，安徽蚌埠市 233000；2.安徽省蚌埠市第三人民医院，a.神经外科;b.神经内科，安徽蚌埠市 233000。
  • 收稿日期:2010-03-09 修回日期:1900-01-01 出版日期:2010-05-25 发布日期:2010-05-25
  • 通讯作者: 许华山

Effect of Social Support, Coping Styles and Self-efficacy on Depression of Adults with Epilepsy

JIAO Dong-liang, XU Hua-shan, WANG En-huan, et al.   

  1. Bengbu Medical College, Bengbu 233000, Anhui, China
  • Received:2010-03-09 Revised:1900-01-01 Published:2010-05-25 Online:2010-05-25

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摘要： 目的探讨社会支持、应对方式和自我效能感对癫痫后抑郁的影响。方法采用一般情况问卷、社会支持问卷、应对方式问卷和自我效能感问卷对84例癫痫患者进行评定，并依据抑郁自评量表（SDS）的评分分为癫痫组和癫痫伴发抑郁组。结果伴发抑郁情绪的患者为52例（61.2%）。癫痫组和癫痫伴发抑郁组的自我效能感、应对方式和社会支持分有显著性差异（P＜0.05）。SDS评分与发作频率、病程、自责、幻想和退避呈正相关，与经济情况、客观支持分、主观支持分、支持的利用度、支持总分、解决问题、求助、合理化、自我效能呈负相关。多元逐步回归分析显示，对癫痫患者SDS分值影响最大的是自我效能感、求助、自责、经济情况、发作频率。结论癫痫患者的抑郁受社会支持、应对方式和自我效能感的影响。

关键词: 癫痫, 抑郁, 社会支持, 应对方式, 自我效能

Abstract: ObjectiveTo explore the effect of the social support, coping styles and self-efficacy on depression of adults with epilepsy. Methods84 patients with epilepsy were evaluated with Zung's self rating depression scale (SDS), general conditions questionnaire, Social Support Scale, Coping Styles Questionnaire, General Self-efficacy Scale. Based on the SDS, they were divided into the depression group and the epileptic group.Results52 patients suffered from depression (61.2%). There were significant differences in general self-efficacy, coping styles and social support between the depression group and the epileptic group （P<0.05）. The score of SDS was positively correlated with the frequency of seizure, duration of epilepsy, fantasy, self-accusation and avoiding （P<0.05）, and negatively correlated with the economic status, total support, objective support, subjective support, utilization of support, problem solving, help seeking, rationalizing and self-efficacy （P<0.05）. Multiple regression analysis showed that the score of SDS was correlated with the self-efficacy, help seeking, self-accusation, economic status and frequency of seizure.ConclusionThe depression of adults with epilepsy are affected by the social support，coping styles and self-efficacy.

Key words: epilepsy, depression, social support, coping styles, self-efficacy