Ozawa Chisa, Suzuki Takefumi, Mizuno Yuya, Tarumi Ryosuke, Yoshida Kazunari, Fujii Kazuhito, Hirano Jinichi, Tani Hideaki, Rubinstein Ellen B, Mimura Masaru, Uchida Hiroyuki
Department of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
Department of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan; Department of Psychiatry, Inokashira Hospital, Kamirenjyaku, Mitaka-shi, Tokyo 181-8531, Japan.
Compr Psychiatry. 2017 Aug;77:53-59. doi: 10.1016/j.comppsych.2017.06.002. Epub 2017 Jun 8.
The degree and quality of resilience in patients with depression have never been investigated in the context of remission status, spirituality/religiosity, and family members' resilience levels, which was addressed in this study.
This cross-sectional study recruited Japanese outpatients with depressive disorder according to ICD-10 and cohabitant family members who were free from psychiatric diagnoses. Resilience was assessed using the 25-item Resilience Scale (RS). Other assessments included the Montgomery-Asberg Depression Rating Scale (MADRS); the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT) and Kasen et al.'s (2012) scale for spirituality/religiosity; and the Rosenberg Self-Esteem Scale (RSES).
One hundred outpatients with depression (mean±SD age, 50.8±14.5years; 44 men; MADRS total score 9.8±9.0) and 36 healthy family members (mean±SD age, 56.5±15.0years; 18 men) were included. Symptom severity, attendance at religious/spiritual services, and self-esteem were significantly associated with RS scores in the patient group. RS total scores were significantly higher in remitted patients compared to non-remitted patients (mean±SD, 112.3±17.1 vs. 84.8±27.7, p<0.001). No correlation was found in RS total scores between patients and their family members (p=0.265), regardless of patients' remission status.
Resilience may be influenced by individual characteristics rather than familial environment; furthermore, self-esteem or spirituality/religiosity may represent reinforcing elements. While caution is necessary in extrapolating these findings to other patient populations, our results suggest that resilience may be considered a state marker in depression.
本研究探讨了缓解状态、精神性/宗教信仰以及家庭成员的心理韧性水平背景下抑郁症患者心理韧性的程度和质量，此前从未有过相关研究。
这项横断面研究招募了符合ICD - 10的日本抑郁症门诊患者以及未患精神疾病的同居家庭成员。使用25项心理韧性量表（RS）评估心理韧性。其他评估包括蒙哥马利 - 阿斯伯格抑郁评定量表（MADRS）；慢性病治疗功能评估 - 精神幸福感量表（FACIT）以及Kasen等人（2012年）的精神性/宗教信仰量表；还有罗森伯格自尊量表（RSES）。
纳入了100名抑郁症门诊患者（平均±标准差年龄，50.8±14.5岁；44名男性；MADRS总分9.8±9.0）和36名健康家庭成员（平均±标准差年龄，56.5±15.0岁；18名男性）。症状严重程度、参加宗教/精神活动以及自尊与患者组的RS得分显著相关。缓解期患者的RS总分显著高于未缓解期患者（平均±标准差，112.3±17.1对84.8±27.7，p<0.001）。无论患者的缓解状态如何，患者与其家庭成员的RS总分均无相关性（p = 0.265）。
心理韧性可能受个体特征而非家庭环境影响；此外，自尊或精神性/宗教信仰可能是强化因素。虽然将这些结果外推至其他患者群体时需谨慎，但我们的结果表明心理韧性可能被视为抑郁症的一种状态标志物。
