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田 亮,叶祥明,李厥宝,周 亮,程瑞动,闻万顺,朱根应.脑卒中患者的情绪调节方式和抑郁相关因素分析[J].中国康复医学杂志,2017,(8):923~927
脑卒中患者的情绪调节方式和抑郁相关因素分析    点此下载全文
田 亮  叶祥明  李厥宝  周 亮  程瑞动  闻万顺  朱根应
浙江省人民医院(杭州医学院附属人民医院)
康复科,杭州,310014
基金项目:浙江省医药卫生计划一般项目(2015126322);浙江省医学重点(创新)学科资助项目
DOI:
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摘要:
      摘要 目的:研究脑卒中患者的情绪调节方式及脑卒中后抑郁症状的主要相关因素。 方法:选取住院脑卒中恢复期患者155例,采取集体实施问卷调查的方式,获取有效问卷124例。用抑郁自评量表来评估卒中后抑郁症状,用Gross情绪调节问卷(ERQ,包括认知重评和表达抑制两个分量表)来评估卒中患者认知重评和表达抑制的使用情况;用沉思量表(RRS)来测量卒中患者沉思策略的使用情况;采用Pearson相关分析计算抑郁量表分和不同情绪调节策略得分之间的相关系数;并用logistic回归分析对卒中患者抑郁症状的主要相关因素进行分析。 结果:41例脑卒中患者有抑郁症状。抑郁量表总分与ERQ的认知重评得分呈负相关(r=-0.23,P=0.01),与ERQ的表达抑制得分无相关(r=0.02,P=0.05),与RRS总分呈正相关(r=0.60,P=0.00)。回归分析表明,照料者为家属(OR=0.54,P=0.034)、认知重评分量表得分高(OR=0.36,P=0.005)和NIHSS得分低(OR=1.21,P=0.002)的已婚脑卒中患者SDS总分较低,而年龄较大(OR=1.04,P=0.019)、照料者为护工(OR=1.18,P=0.042)、离异/丧偶(OR=1.22,P=0.034)和RRS总分较高(OR=1.53,P=0.001)的脑卒中患者SDS总分较高。 结论:年龄较大、照料者为护工、离异/丧偶、越多使用沉思策略和越少使用认知重评策略的脑卒中患者,发生抑郁的风险越大。
关键词:卒中后抑郁  情绪调节  相关因素  情绪调节问卷  沉思量表  抑郁自评量表
A study on emotion regulation methods and related factors of post-stroke patients    Download Fulltext
Department of Rehabilitation Medicine,Zhejiang Provincial People's Hospital,Hangzhou,310014
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Abstract:
      Abstract Objective: To explore the way of emotion regulation and the related factors of depressive symptom in post-stroke patients. Method: Totally 124 cases from 155 post-stroke patients in recovery period were surveyed by collective implementation questionnaire. Depressive disorder was assessed with self-rating depression scale (SDS).Cognition reappraisal and expressive suppression were assessed with Gross emotion regulation questionnaire(ERQ). Rumination was assessed with the ruminative response scale (RRS). Pearson correlation analysis was used to calculate correlation coefficient between depression scale score and different emotion regulation score; and Logistic analysis was used to explore the depressive disorder-related factors in post-stroke patients. Result: Forty-one post-stroke patients were screened out as suffering from depressive disorder. The SDS scores were negatively correlated with the ERQ cognitive reappraisal subscale scores(r=-0.23,P=0.01) and not correlated with the ERQ expressive suppression subscale score(r=0.02,P=0.05), and positively correlated with RRS total scores(r=0.60,P=0.00). Logistic analysis revealed that those who were married (OR=0.47,P=0.008), cared by family member(OR=0.54,P=0.034), higher cognitive reappraisal subscale scores(OR=0.36,P=0.005), and lower NIHSS scores (OR=1.21,P=0.002) scored lower in SDS. Those who were divorced/widowed(OR=1.22,P=0.034), had older age (OR=1.04, P=0.019) and higher RRS scores (OR=1.53,P=0.001) and cared by Patient Carer (OR=1.18,P=0.042) scored higher in SDS. Conclusion: Those who are divorced/widowed,older age, cared by patient Carer, more frequently using rumination, and less frequently using cognitive reappraisal may be more suffered from depression.
Keywords:post-stroke depression  emotion regulation  relate factors  self-rating depression scale  emotion regulation questionnaire  ruminative response scale
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