一项为期1年的前瞻性研究中的自我报告生活满意度与抑郁症康复情况
Self-reported life satisfaction and recovery from depression in a 1-year prospective study.
作者信息
Koivumaa-Honkanen H, Honkanen R, Antikainen R, Hintikka J, Laukkanen E, Honkalampi K, Viinamäki H
机构信息
Department of Psychiatry, University of Kuopio, Finland.
出版信息
Acta Psychiatr Scand. 2001 Jan;103(1):38-44. doi: 10.1034/j.1600-0447.2001.00046.x.
OBJECTIVE
To study the relationship of a self-rated four-item life satisfaction scale (LS) to the self-rated 21-item Beck Depression Inventory (BDI) and the 17-item Hamilton Rating Scale for Depression (HAMD) and to study LS changes during recovery from depression.
METHOD
A 1-year prospective study on 188 depressive patients receiving standard psychiatric outpatient treatment; 137 of the patients had major depression.
RESULTS
LS correlated strongly with BDI and HAMD. It explained 46.6%) of the variation in BDI at baseline and 66.2% at 12 months. LS improved substantially during recovery. The main recovery occurred during the first 6 months, the change in the LS score explaining 46.5% of the change in the BDI score (P < 0.001).
CONCLUSION
Life satisfaction is strongly affected in depression, but it improves concurrently with recovery from depression. LS scale may prove useful in screening for those whose subjective wellbeing deserves attention and in assessing alleviation from depression.
目的
研究自评四项生活满意度量表（LS）与自评21项贝克抑郁量表（BDI）和17项汉密尔顿抑郁评定量表（HAMD）之间的关系，并研究抑郁恢复过程中生活满意度的变化。
方法
对188例接受标准精神科门诊治疗的抑郁症患者进行为期1年的前瞻性研究；其中137例患者患有重度抑郁症。
结果
生活满意度与贝克抑郁量表和汉密尔顿抑郁评定量表密切相关。它在基线时解释了贝克抑郁量表46.6%的变异，在12个月时解释了66.2%的变异。在恢复过程中生活满意度有显著改善。主要恢复发生在前6个月，生活满意度得分的变化解释了贝克抑郁量表得分变化的46.5%（P<0.001）。
结论
抑郁症患者的生活满意度受到严重影响，但随着抑郁症的恢复同时改善。生活满意度量表可能有助于筛查那些主观幸福感值得关注的人群，并评估抑郁症的缓解情况。
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