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[通过内控点、习得性乐观和社会依赖-自主对血液透析患者抑郁的预测]

[Prediction of depression by locus of control, learned resourcefulness and sociotropy-autonomy in hemodialysis patients].

作者信息

Baydoğan Misli, Dağ Ihsan

机构信息

Adalet Bakanliği, Ankara.

出版信息

Turk Psikiyatri Derg. 2008 Spring;19(1):19-28.

Abstract

OBJECTIVE

The aims of the present study were to investigate the effects of various personality variables, namely, the locus of control beliefs, learned resourcefulness and sociotropy-autonomy in the prediction of the level of depressiveness in hemodialysis patients. The dependent variable of the study was not the depression but the level of depressiveness measured by the Beck Depression Inventory.

METHOD

Seventy one permanent hemodialysis outpatients in a treatment center in Ankara participated in the study [43 females and 28 males with mean (+/-SD) ages of 44 (+/-9.68) and 52.6 (+/-7.8), respectively]. Beck Depression Inventory, Rotter's Internal External Locus of Control Scale, Rosenbaum's Learned Resourcefulness Scale, Sociotropy-Autonomy Scale and Demographic Information Form were given to the patients. F test and one way ANOVA were conducted to examine the effects of sex and age groups, respectively, and then Stepwise Multiple Regression Analysis was conducted for prediction of depressiveness levels.

RESULTS

The oldest age group (defined as between 56-70 ages) and females had higher depressiveness scores. External locus of control and low level of learned resourcefulness, an indicator of ineffective coping skills were the predictive variables of depressiveness in hemodialysis patients when age, sex, and total length of time on dialysis were controlled. On the other hand, other personality variables, sociotropy and autonomy were not significant predictors.

CONCLUSION

Female patients and patients in the older age group were significantly more depressive, consistent with the literature, and the results were discussed in the light of the related literature.

摘要

目的

本研究旨在调查各种人格变量,即控制点信念、习得性机智和社会依赖-自主性,对血液透析患者抑郁程度的预测作用。本研究的因变量并非抑郁症,而是用贝克抑郁量表测量的抑郁程度。

方法

安卡拉一家治疗中心的71名长期血液透析门诊患者参与了本研究[43名女性和28名男性,平均(±标准差)年龄分别为44(±9.68)岁和52.6(±7.8)岁]。向患者发放了贝克抑郁量表、罗特内外控制点量表、罗森鲍姆习得性机智量表、社会依赖-自主性量表和人口统计学信息表。分别进行F检验和单因素方差分析以检验性别和年龄组的影响,然后进行逐步多元回归分析以预测抑郁程度。

结果

年龄最大的年龄组(定义为56 - 70岁之间)和女性的抑郁得分较高。当控制年龄、性别和透析总时长时,外部控制点和习得性机智水平低(应对技能无效的一个指标)是血液透析患者抑郁的预测变量。另一方面,其他人格变量,即社会依赖和自主性并不是显著的预测因素。

结论

女性患者和年龄较大的患者组明显更易抑郁,这与文献一致,并根据相关文献对结果进行了讨论。

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