女性抑郁症患者的婚姻质量研究
投稿时间:2014-07-23  修订日期:2014-09-01  点此下载全文
引用本文:苑杰,薛伟,李丽娜,杨美荣,程淑英,吕少博,王静.女性抑郁症患者的婚姻质量研究[J].医学研究杂志,2015,44(4):129-133
DOI: 10.11969/j.issn.1673-548X.2015.04.036
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作者单位E-mail
苑杰 063000 唐山, 河北联合大学精神卫生研究所  
薛伟 063000 唐山, 河北联合大学心理学院2012级临床医学专业硕士研究生  
李丽娜 063000 唐山, 河北联合大学心理学院心理学院  
杨美荣 063000 唐山, 河北联合大学心理学院心理学院  
程淑英 063000 唐山, 河北联合大学心理学院心理学院  
吕少博 063000 唐山, 河北联合大学心理学院心理学院  
王静 063000 唐山职业技术学院 tsphyj@126.com 
中文摘要:目的 探讨女性抑郁症患者的婚姻质量。 方法 应用人口学变量调查表、Locke-Wallace婚姻调适测定、抑郁自评量表(SDS),对139例女性抑郁症患者(研究组)和139例健康女性(对照组)进行调查。 结果 研究组的婚姻质量得分明显低于对照组(P=0.000)。重度抑郁组的婚姻质量明显差于轻、中度抑郁组(P均=0.000);女性抑郁症患者的婚姻质量与SDS得分呈负相关(P均<0.01)。不同年龄、学历、婚龄、生理期、月收入、首/复发的女性抑郁症患者,其婚姻质量差异有统计学意义(P均<0.01),且其婚姻质量与学历、生理期、月收入、首/复发呈正相关(P均<0.01),与婚龄呈负相关(P<0.05)。分层回归分析显示,在控制了学历、婚龄、生理期、首/复发后,抑郁程度对女性抑郁症患者的婚姻质量有预测作用(P<0.01)。 结论 女性抑郁症患者的婚姻质量较差。重度抑郁的女性患者,其婚姻质量明显差于轻、中度患者。抑郁程度越高的女性患者,其婚姻质量越差;低学历、低收入、婚龄在21~30年的、处于生理期的或者是首发的女性抑郁症患者,其婚姻质量较差。在控制了学历、婚龄、生理期、首/复发后,抑郁程度可以预测女性抑郁症患者的婚姻质量。
中文关键词:抑郁症  婚姻质量  女性
 
Research on the Marital Quality of Female Patients with Depression
Abstract:Objective To investigate the marital quality of female patients with depression. Methods The questionnaire of demographic variables, Locke-Wallace marital adjustment and Self-rating Depression Scale (SDS) were used to survey 139 cases of female patients with depression(study group) and 139 cases of healthy women(control group). Results The scores of the marital quality in the study group were significantly lower than that in the control group(P=0.000).The scores of marriage quality in major depression group were significantly lower than that in mild and moderate depression group (P=0.000). The scores of marital quality was negatively correlated with SDS scores(P<0.01).There were significant differences in marital quality among ages, education backgrounds, marriageable ages, physiological periods(menstrual period, pregnant or puerperal period, menopause), monthly incomes,first-episode depression /relapse (P<0.01). The scores of marital quality were positively correlated with education backgrounds,physiological periods, monthly incomes, first-episode depression /relapse(P<0.01), and negatively correlated with marriageable ages(P<0.05). ④Hierarchical regression analysis indicated that depression levels can be used to predict the marriage quality of the female patients with depression after controlling the variables of education backgrounds, marriageable ages, physiological periods, monthly incomes, first-episode depression/relapse(P<0.01). Conclusion Overall, the marital quality of female patients with depression is poor. Specifically, the marriage quality of major depression is obviously poorer than that of mild and moderate depression. The higher the depression scores, the poorer their marriage quality becomes; the marriage quality is poor in the female patients with depression who are less educated, low incomes, in physiological period, suffering first-episode depression, or have 21-30 years of marriage. After controlling the variables of education backgrounds, marriageable ages, physiological periods, monthly incomes, first-episode depression/relapse, depression levels can be used to predict the marriage quality of the female patients with depression.
keywords:Depression  Marital quality  Female
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