Soman Savitha, Bhat Shripathy M, Latha K S, Praharaj Samir Kumar
Department of Psychiatry, Kasturba Medical College, Manipal, Karnataka, India.
Department of Psychiatry, Dr. A. V. Baliga Memorial Hospital, Udupi, Karnataka, India.
Indian J Psychol Med. 2017 May-Jun;39(3):316-322. doi: 10.4103/0253-7176.207334.
Social support and life events moderate the expression of depression though studies have shown contradictory results. The objective was to study the stressful life events and perceived social support in patients with adjustment disorder, first-episode depression, and recurrent depressive disorder (RDD).
One hundred and forty-six patients aged 18-60 years with adjustment disorder, first-episode depression, or RDD according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision were evaluated using the presumptive stressful life events scale and Multidimensional Scale of Perceived Social Support.
There was no difference in mean number of total life events and subgroups as well as perceived stress score in the past 1 year between the groups. There was no difference in the perceived social support scale total score, as well as from family and friends, across the three groups. However, the mean perceived social support from significant others in those with RDD was lower as compared to those with adjustment disorder.
Stressful life events do not differ in adjustment disorder, first-episode depression, and RDD. Furthermore, the perceived social support was similar across the three groups, except for perceived social support from significant others, which was less in those with RDD.
尽管研究结果相互矛盾，但社会支持和生活事件会调节抑郁症的表现。目的是研究适应障碍、首发抑郁症和复发性抑郁症（RDD）患者的应激性生活事件和感知到的社会支持。
根据《精神障碍诊断与统计手册》第四版修订版，对146例年龄在18至60岁之间、患有适应障碍、首发抑郁症或RDD的患者，使用推定应激性生活事件量表和多维感知社会支持量表进行评估。
各组之间在过去1年的总生活事件平均数、亚组以及感知应激评分方面没有差异。三组之间在感知社会支持量表总分以及来自家人和朋友的支持方面没有差异。然而，与患有适应障碍的患者相比，RDD患者从重要他人那里获得的平均感知社会支持较低。
适应障碍、首发抑郁症和RDD患者的应激性生活事件没有差异。此外，除了来自重要他人的感知社会支持在RDD患者中较少外，三组之间的感知社会支持相似。
