移民背景下的心理一致感与抑郁：德国和土耳其的土耳其裔患者。
Sense of coherence and depression in the framework of immigration: Turkish patients in Germany and in Turkey.
机构信息
Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Essen, Essen, Germany.
出版信息
Int Rev Psychiatry. 2011 Dec;23(6):542-9. doi: 10.3109/09540261.2011.637908.
The present study explores sense of coherence (SOC) levels in two clinical samples (outpatients with neurotic disorders) with the same Turkish cultural background in comparison to the German reference values as well as the association between SOC and depression and the protective role of SOC. A total of 96 Turkish patients in Germany (36.67 ± 9.52 years) as well as 60 local Turkish patients (38.57 ± 10.15 years) have been examined for SOC measured with the Sense of Coherence scale (SOC-29) and depression with the Beck Depression Inventory (BDI). Both samples scored significantly lower for SOC compared to the normal Turkish and German population and to German subjects with psychiatric symptoms (p < 0.001) but did not differ significantly from each other. Negative significant correlations were found between SOC and the degree of depressiveness in both groups (immigrants: r = -0.59, p < 0.001; Turks: r = -0.51, p < 0.001). Multiple regression analyses including SOC, age, gender, education, marital and employment status have demonstrated SOC to be the strongest predictor for depressiveness. SOC can be regarded as a protective factor for depression in patients with Turkish migration background in Germany and in local Turkish patients. However, further studies are needed to clarify if the concept SOC can be used adequately in collectivistic cultures as, for example, the Turkish one.
本研究比较了具有相同土耳其文化背景的两个临床样本（神经症门诊患者）和德国参考值的综合感知能力（SOC）水平，以及 SOC 与抑郁之间的关系以及 SOC 的保护作用。共有 96 名在德国的土耳其患者（36.67 ± 9.52 岁）和 60 名当地土耳其患者（38.57 ± 10.15 岁）接受了 SOC-29 量表和 BDI 抑郁量表的 SOC 检测。两个样本的 SOC 评分均明显低于正常土耳其和德国人群以及有精神症状的德国人群（p < 0.001），但彼此之间无显着差异。在两组中（移民：r = -0.59，p < 0.001；土耳其人：r = -0.51，p < 0.001），SOC 与抑郁程度之间均存在负显著相关性。包括 SOC、年龄、性别、教育、婚姻和就业状况在内的多元回归分析表明，SOC 是抑郁的最强预测因素。SOC 可被视为德国土耳其移民背景和当地土耳其患者中抑郁的保护因素。但是，需要进一步的研究来阐明 SOC 这一概念是否可以在集体主义文化中得到充分利用，例如土耳其文化。
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