Department of Psychiatry and Psychology, General Hospital of Northern Theater Command, Shenyang, China.
J Psychiatr Ment Health Nurs. 2023 Jun;30(3):492-500. doi: 10.1111/jpm.12884. Epub 2022 Nov 26.
WHAT IS KNOWN ON THE SUBJECT?: Recurrence is common in patients diagnosed with major depressive disorder (MDD). Psychological resilience has been shown to be a protective factor against recurrence of depression. It has important clinical nursing significance to analyse the influencing factors of psychological resilience in major depressive disorder in remission (MDDR) patients. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: There are few previous studies on the influencing factors of psychological resilience in patients diagnosed with MDDR. We found the education levels, personal monthly income, social support, well-being and self-efficacy were influencing factors of psychological resilience in patients diagnosed with MDDR. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: According to the factors affecting the psychological resilience of patients diagnosed with MDDR, targeted clinical nursing is helpful to prevent the recurrence of depression. Nurses should strengthen the nursing of patients with <12 years of education, and patients with personal monthly income less than 5000 RMB. In addition, nurses should cultivate patients' awareness of social support and identity, cultivate their ability to strive for social support, cultivate interpersonal skills and positive emotional experience to improve subjective well-being and carry out self-efficacy training to improve psychological resilience by enhancing patients' internal protective factors.
AIM: Psychological resilience is closely related to recurrence of depression. There are few previous studies on the influencing factors of psychological resilience in patients diagnosed with major depressive disorder in remission (MDDR). Here, we investigated the current status of resilience in patients diagnosed with MDDR and its influencing factors.
A descriptive cross-sectional study was conducted from June 2019 to April 2021. One hundred and forty-two patients diagnosed with MDDR were recruited from the Department of Psychiatry and Psychology of the General Hospital of Northern Theater Command. Demographic information, social support, well-being, self-efficacy and psychological resilience were collected using self-reported questionnaires.
The psychological resilience of MDDR patients was lower than that of the healthy Chinese adults in China. Multiple logistic regression analysis showed that education, personal monthly income, social support, well-being and self-efficacy were associated with psychological resilience. Receiver operating characteristic (ROC) curve analysis further confirmed that social support, well-being and self-efficacy were associated with psychological resilience.
The psychological resilience of MDDR patients was lower than that of the general population in China. The education levels, personal monthly income, social support, well-being and self-efficacy were influencing factors of psychological resilience.
According to the factors affecting the psychological resilience of patients diagnosed with MDDR, targeted clinical nursing is helpful to prevent the recurrence of depression.
心理弹性与抑郁复发密切相关。既往关于缓解期（MDDR）抑郁患者心理弹性影响因素的研究较少。本研究旨在调查 MDDR 患者的心理弹性现状及其影响因素。
采用描述性横断面研究方法，于 2019 年 6 月至 2021 年 4 月，选取北部战区总医院精神心理科 142 例 MDDR 患者进行问卷调查，收集患者的人口学资料、社会支持、幸福感、自我效能感和心理弹性。
MDDR 患者的心理弹性低于中国健康成年人常模。多因素 logistic 回归分析显示，教育程度、个人月收入、社会支持、幸福感和自我效能感与心理弹性有关。受试者工作特征（ROC）曲线分析进一步证实了社会支持、幸福感和自我效能感与心理弹性有关。
MDDR 患者的心理弹性低于中国普通人群。教育程度、个人月收入、社会支持、幸福感和自我效能感是心理弹性的影响因素。
根据影响 MDDR 患者心理弹性的因素，进行有针对性的临床护理有助于预防抑郁复发。
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