Taha Samah Mohamed, El-Sayed Mona Metwally, Khedr Mahmoud Abdelwahab, El-Ashry Ayman Mohamed, Abdelraof Azza Ibrahim, Sonbol Hassan Mohammed, Hawash Manal Mohammed, Elhay Eman Sameh Abd
Psychiatric and Mental Health Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt.
Psychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
BMC Nurs. 2025 Jan 7;24(1):21. doi: 10.1186/s12912-024-02587-4.
Despite advancements in therapies, the severity of depressive symptoms continues to challenge psychiatric nurses. However, research has indicated that a higher sense of coherence (SOC) can act as a protective factor against the development of diseases and promote faster recovery.
This study aimed to investigate whether SOC could serve as an indicator of depressive symptom severity among clients with depression.
The study employed a cross-sectional design and followed the STROBE checklist for reporting observational studies.
A convenient sample of 169 clients with depression participated in the study. The researchers utilized the Antonovsky Sense of Coherence Scale-29 and the Beck Depression Inventory-II to assess SOC and depressive symptoms, respectively.
The study findings indicated that a substantial proportion of the participants (35.5%) had low Sense of Coherence (SOC) levels, associated with higher depressive symptoms. The severity of depression showed a significant negative correlation with difficulties in understanding and finding meaning in life and challenges in effectively coping with life's demands (r = -0.626, p < 0.001). The regression analysis revealed that for every one-unit increase in SOC, there was a corresponding decrease of 0.5 units in depressive symptoms. The SOC variable accounted for 39.1% of the variance in depressive symptoms severity.
Psychiatric nurses should consider implementing interventions to enhance SOC, such as Life Skills Training (LST), psychoeducation, cognitive-behavioral therapy, and mindfulness practices, particularly for depressive disorder clients with a poor sense of coherence.
尽管治疗方法有所进步，但抑郁症状的严重程度仍给精神科护士带来挑战。然而，研究表明，较高的连贯感（SOC）可作为预防疾病发生的保护因素，并促进更快康复。
本研究旨在调查连贯感是否可作为抑郁症患者抑郁症状严重程度的指标。
本研究采用横断面设计，并遵循STROBE清单报告观察性研究。
选取169名抑郁症患者作为方便样本参与研究。研究人员分别使用安托诺夫斯基连贯感量表-29和贝克抑郁量表-II来评估连贯感和抑郁症状。
研究结果表明，相当一部分参与者（35.5%）的连贯感（SOC）水平较低，且与较高的抑郁症状相关。抑郁严重程度与理解生活意义和应对生活需求方面的困难呈显著负相关（r = -0.626，p < 0.001）。回归分析显示，连贯感每增加一个单位，抑郁症状相应减少0.5个单位。连贯感变量占抑郁症状严重程度变异的39.1%。
精神科护士应考虑实施干预措施以增强连贯感，如生活技能训练（LST）、心理教育、认知行为疗法和正念练习，尤其是对于连贯感较差的抑郁症患者。
