School of Nursing, Shandong University, Jinan, Shandong, China.
School of Foreign Languages and Literature, Jinan, Shandong, China.
J Clin Nurs. 2018 Mar;27(5-6):e984-e991. doi: 10.1111/jocn.14114. Epub 2018 Feb 15.
To investigate the prevalence of depression and the relationship among interpersonal sensitivity, coping styles and depression in patients with chronic atrophic gastritis and explore the mediating role of coping styles between interpersonal sensitivity and depression.
A cross-sectional survey of 101 patients diagnosed with chronic atrophic gastritis aged 33-83 years. All the participants were surveyed face to face and given the informed consent. Sociodemographic and clinical characteristics, the interpersonal sensitivity dimension of the Symptoms Checklist-90-Revised, the Trait Coping Style Questionnaire and Hospital Depression Scale were measured. A descriptive analysis and a correlation matrix were used to illuminate the characteristics of subjects and bivariate correlations, respectively. Hierarchical regression analysis and bootstrapping method were used to test the mediating effect of coping styles between interpersonal sensitivity and depression.
The prevalence of depression among patients with chronic atrophic gastritis was 54.50%. The regression analysis revealed that interpersonal sensitivity was positively related to depression. The effect of interpersonal sensitivity on depression was partially mediated by coping styles, including positive coping and negative coping.
Depression was highly prevalent in patients with chronic atrophic gastritis. Coping styles played a mediating role between interpersonal sensitivity and depression, which had important clinical implications for physicians and nurses.
Patients who are at high risk of depression should be identified and applicable targets should be made for prevention and intervention, in consideration of mental health of patients with chronic atrophic gastritis.
调查慢性萎缩性胃炎患者中抑郁的流行情况以及人际敏感、应对方式与抑郁之间的关系，并探讨应对方式在人际敏感与抑郁之间的中介作用。
采用横断面调查方法，对 101 例年龄在 33-83 岁的慢性萎缩性胃炎患者进行面对面调查，并获得知情同意。采用一般资料问卷、症状自评量表-90 修订版（人际敏感维度）、特质应对方式问卷和医院焦虑抑郁量表对患者进行调查。采用描述性分析和相关矩阵分别描述患者的特征和进行相关性分析。采用分层回归分析和 Bootstrap 方法检验应对方式在人际敏感与抑郁之间的中介效应。
慢性萎缩性胃炎患者中抑郁的检出率为 54.50%。回归分析显示，人际敏感与抑郁呈正相关。应对方式在人际敏感与抑郁之间起部分中介作用，包括积极应对和消极应对。
慢性萎缩性胃炎患者中抑郁的发生率较高。应对方式在人际敏感与抑郁之间起中介作用，这对医生和护士具有重要的临床意义。
应识别出处于高抑郁风险的患者，并考虑到慢性萎缩性胃炎患者的心理健康，为其制定预防和干预的适用目标。
