Department of Neurology, Klinikum Grosshadern, Ludwig-Maximilans-Universität Munich, Germany.
Paracelsus-Elena Klinik Kassel, University of Würzburg, Germany.
Behav Neurol. 1992;5(2):75-81. doi: 10.3233/BEN-1992-5202.
In this study, the influence of partnership on depression and coping with Parkinson's disease has been investigated. Twenty-three single female patients, 46 married patients (23 female, 23 male) with unimpaired partnership and 42 patients (21 female, 21 male) whose partnership had worsened since the onset of disease, were compared with regard to depression and self reported extent of psychosocial distress. Single female patients tended to have higher depression scores than patients in a stable partnership, especially in items concerning personal worthlessness and senselessness of life. Patients differed in the extent of distress concerning social behavior, psychological problems/anxiety and efficiency. Within the group of single female patients two subgroups emerged: (1) patients with low extent of distress in all aspects; (2) patients who were highly distressed by psychological problems and physical disability but weakly distressed from social interaction. Male and female patients living in a stable partnership reported only a generally low to moderate extent of distress. More than half of the male and female patients who reported an impairment of their relationship also had scores of moderate to severe depression. These patients also had the highest extent of distress in each of the aspects assessed. The results are discussed with regard to possible interactive effects of the disease, quality of the partnership and availability of coping strategies.
本研究旨在探讨伴侣关系对帕金森病患者抑郁和应对方式的影响。我们比较了 23 名单身女性患者、46 名婚姻状况良好（23 名女性，23 名男性）的已婚患者和 42 名自发病以来伴侣关系恶化的患者（21 名女性，21 名男性）在抑郁和自我报告的心理社会困扰程度方面的差异。单身女性患者的抑郁评分往往高于稳定伴侣关系的患者，尤其是在个人无价值感和生活无意义感方面。在社交行为、心理问题/焦虑和效率方面，患者的困扰程度存在差异。在单身女性患者群体中，出现了两个亚组：（1）在所有方面困扰程度较低的患者；（2）受心理问题和身体残疾困扰较大但受社交互动困扰较小的患者。稳定伴侣关系中的男性和女性患者报告的困扰程度普遍较低或中度。报告伴侣关系受损的男性和女性患者中，超过一半的患者有中度至重度抑郁。这些患者在评估的各个方面的困扰程度也最高。我们将根据疾病、伴侣关系质量和应对策略的可用性等方面的可能交互作用对结果进行讨论。
