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康复环境中成年人群体的抑郁与视力丧失经历:混合方法试点研究

Depression and experience of vision loss in group of adults in rehabilitation setting: mixed-methods pilot study.

作者信息

Senra Hugo, Vieira Cristina R, Nicholls Elizabeth G, Leal Isabel

机构信息

University of Deusto, Faculty of Psychology, Avenida de las Universidades 24, 48007 Bilbao, Spain. 23/Jan/2014 17:0123/Jan/2014 17:01

出版信息

J Rehabil Res Dev. 2013;50(9):1301-14. doi: 10.1682/JRRD.2012.08.0138.

Abstract

There is a paucity of literature regarding the relationship between the experience of vision loss and depression. Therefore, the current pilot study aimed to explore whether significant differences existed in levels of depression between adults with different vision loss experiences. A group of adults aged between 20 and 65 yr old with irreversible vision loss in a rehabilitation setting was interviewed. Semistructured interviews were conducted in order to explore patients' experience of vision loss. The Center for Epidemiologic Studies Depression Scale (CES-D) was used to assess depressive levels; 39.5% (n = 15) of patients met CES-D criteria for depression. In addition, higher levels of depression (p < 0.05) were identified in patients whose interviews revealed greater self-awareness of impairment, inadequate social support, and longer rehabilitation stay. Current findings draw attention to variables such as self-awareness of impairment and perceived social support and suggest that depression following vision loss may be related to patients' emotional experiences of impairment and adjustment processes.

摘要

关于视力丧失经历与抑郁症之间的关系,相关文献较少。因此,当前的试点研究旨在探讨不同视力丧失经历的成年人在抑郁水平上是否存在显著差异。对一组年龄在20至65岁之间、在康复机构中患有不可逆视力丧失的成年人进行了访谈。进行半结构化访谈以探究患者的视力丧失经历。使用流行病学研究中心抑郁量表(CES-D)来评估抑郁水平;39.5%(n = 15)的患者符合CES-D抑郁标准。此外,在访谈中表现出对损伤有更强自我意识、社会支持不足且康复住院时间更长的患者中,发现了更高水平的抑郁(p < 0.05)。当前研究结果提请关注诸如对损伤的自我意识和感知到的社会支持等变量,并表明视力丧失后的抑郁可能与患者对损伤的情感体验和调整过程有关。

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