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“我很坚强,我可以继续我的生活”:治疗抑郁症患者康复的主观体验。

"I am strong and I can get on with my life": The subjective experience of recovery of patients treated for depression.

机构信息

Instituto Milenio para la Investigación de la Depresión y la Personalidad (MIDAP), Universidad de Chile, Santiago de Chile, Chile.

Instituto Milenio para la Investigación de la Depresión y la Personalidad (MIDAP), Universidad Alberto Hurtado, Santiago, Chile.

出版信息

Psychother Res. 2023 Jun;33(5):625-639. doi: 10.1080/10503307.2022.2147035. Epub 2022 Nov 20.

Abstract

OBJECTIVE

: The aim of the study was to characterize the subjective experience of recovery from depression based on the perspective of those who suffer from it.

METHOD

: Forty participants from two South American countries, who had been or were currently being treated for depression, took part in semi-structured and in-depth interviews. Most participants were female (78%), with ages ranging from 22 to 63 years. Interviews were analyzed using Grounded Theory, creating a hierarchy of categories that represent participants' experience of recovery. The categories were subsequently organized around an emergent central phenomenon.

RESULTS

: "Transformation of the experience of the depressed self" was constructed as the main phenomenon that accounts for the subjective understanding of recovery. This transformation consists in an increase in self-acceptance, self-appreciation, and auto-biographical contextualization, coupled with an increase in agency and empowerment.

CONCLUSION

: Recovery is experienced as a multidimensional process that goes beyond the absence of symptoms. Change is experienced as a result of active self-management and commitment. The relevance of person-centered perspectives and their subjectivity for managing depression is discussed.

摘要

目的

本研究旨在从抑郁症患者的角度描述其对康复的主观体验。

方法

来自两个南美国家的 40 名参与者参加了半结构化和深入访谈,他们曾或正在接受抑郁症治疗。大多数参与者为女性(78%),年龄在 22 至 63 岁之间。采用扎根理论对访谈进行分析,创建了一个代表参与者康复体验的类别层次结构。随后,这些类别围绕一个新兴的中心现象进行组织。

结果

“抑郁自我体验的转变”被构建为解释康复主观理解的主要现象。这种转变包括自我接受、自我欣赏和自传体背景化的增加,同时也伴随着能动性和赋权感的增强。

结论

康复被体验为一个超越症状消失的多维过程。变化是通过积极的自我管理和承诺实现的。本文讨论了以患者为中心的视角及其主观性对管理抑郁症的重要性。

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