Liu Shuo, Yang Bing Xiang, Gong Xuan, Chen Jie, Liu Zhongchun, Zhang Jun, Wang Xiao Qin
School of Health Sciences, Wuhan University, Wuhan, China.
Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.
Front Psychiatry. 2021 May 7;12:559844. doi: 10.3389/fpsyt.2021.559844. eCollection 2021.
This study aimed to investigate the current status of depression self-management (DSM), and to identify influencing factors of DSM among Chinese community residents. Stratified random sampling methodology was adopted in this cross-sectional survey. Respondents completed a collection of self-administered questionnaires The majority of participants were female (72.2%), having a mean age of 39 years (SD = 17.3). The total mean score on the DSSM was low (31.63 ± 4.69). Using multiple linear regression analysis, age ranging from 25 to 64 years old (Beta = -0.176, = 0.008), having personal stigma (Beta = -0.143, = 0.020) and perceived stigma (Beta = 0.127, = 0.037), and having a nuclear family structure (Beta = -0.313, = 0.046), good family function (Beta = 0.278, < 0.001) and good help-seeking attitude (Beta = 0.159, = 0.008) were associated with DSSM-knowledge. Older age (≥65 years) (Beta = -0.152, = 0.034), higher CES-D scores (Beta = -0.162, = 0.005), having a father with a bachelor's degree or higher level of education (Beta = -0.134, = 0.047), being female (Beta = 0.147, = 0.012), indicating a religious preference (Beta = 0.145, = 0.017) and having good family function (Beta = 0.247, = 0.001) were significantly associated with DSSM-activities. Reducing stigma related to depression and enhancing help-seeking attitudes may be potential strategies for managing depressive symptoms among Chinese community residents.
本研究旨在调查抑郁自我管理（DSM）的现状，并确定中国社区居民中DSM的影响因素。本横断面调查采用分层随机抽样方法。受访者完成了一系列自填式问卷。大多数参与者为女性（72.2%），平均年龄为39岁（标准差=17.3）。抑郁自我管理量表（DSSM）的总平均分较低（31.63±4.69）。采用多元线性回归分析，25至64岁（β=-0.176，P=0.008）、有个人耻辱感（β=-0.143，P=0.020）和感知耻辱感（β=0.127，P=0.037）、以及有核心家庭结构（β=-0.313，P=0.046）、良好的家庭功能（β=0.278，P<0.001）和良好的求助态度（β=0.159，P=0.008）与DSSM知识相关。年龄较大（≥65岁）（β=-0.152，P=0.034）、较高的流调中心用抑郁量表（CES-D）得分（β=-0.162，P=0.005）、父亲拥有学士学位或更高教育水平（β=-0.134，P=0.047）、女性（β=0.147，P=0.012）、表明有宗教偏好（β=0.145，P=0.017）和良好的家庭功能（β=0.247，P=0.001）与DSSM活动显著相关。减少与抑郁相关的耻辱感并增强求助态度可能是管理中国社区居民抑郁症状的潜在策略。
