Joo Min Jeong, Ko Jisu, Lim Jae Hyeok, Kim Dan Bi, Park Eun-Cheol
Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea.
Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea.
PLoS One. 2025 Feb 28;20(2):e0318378. doi: 10.1371/journal.pone.0318378. eCollection 2025.
Individuals with chronic diseases are more sensitive to depressive symptoms and stress compared to the general population. The complexity and unpredictability of these diseases necessitate family involvement in their management. However, long-term disease can exhaust both patients and their families, leading to conflicts and increased stress, thus exacerbating depressive symptoms. This longitudinal study investigated the impact of family conflict resolution methods on depressive symptoms among chronic disease patients in Korea.
We used data from the Korean Welfare Panel Study, collected from 2012 to 2022, analyzing 10,969 chronically ill cohabiting or married individuals. Chi-square tests were used to compare group characteristics, and generalized estimating equation models were used for regression analysis, focusing on Center for Epidemiologic Studies Depression Scale-11 scores, family conflict resolution changes, and covariates.
Participant groups that changed from positive to negative conflict resolution methods were more likely to have depressive symptoms than the group that did not change from positive methods (positive → negative odds ratios (OR) = 1.34, confidence intervals (CI) = 1.24-1.44). In addition, participants who did not change from negative methods were significantly more depressed than those who maintained positive methods over time (negative → negative OR = 1.48, 95% CI = 1.37-1.59). Uncollaborative discussions and domestic violence resolution methods were related to depressive symptoms in family conflict resolution methods.
Negative family conflict resolution methods influence depressive symptoms in individuals with chronic diseases. Even after transitioning to positive conflict resolution methods, prior negative experiences continued to impact depressive symptoms.
与普通人群相比，慢性病患者对抑郁症状和压力更为敏感。这些疾病的复杂性和不可预测性使得家庭参与其管理成为必要。然而，长期患病会使患者及其家人都疲惫不堪，导致冲突和压力增加，从而加重抑郁症状。这项纵向研究调查了家庭冲突解决方式对韩国慢性病患者抑郁症状的影响。
我们使用了韩国福利面板研究（Korean Welfare Panel Study）2012年至2022年收集的数据，分析了10969名患有慢性病的同居或已婚个体。采用卡方检验比较组间特征，并使用广义估计方程模型进行回归分析，重点关注流行病学研究中心抑郁量表-11得分、家庭冲突解决方式的变化以及协变量。
从积极冲突解决方式转变为消极冲突解决方式的参与者组比未从积极方式转变的组更有可能出现抑郁症状（积极→消极优势比（OR）=1.34，置信区间（CI）=1.24 - 1.44）。此外，随着时间推移，未从消极方式转变的参与者比保持积极方式的参与者抑郁程度明显更高（消极→消极OR = 1.48，95%CI = 1.37 - 1.59）。在家庭冲突解决方式中，不合作的讨论和家庭暴力解决方式与抑郁症状有关。
消极的家庭冲突解决方式会影响慢性病患者的抑郁症状。即使转变为积极的冲突解决方式后，先前的消极经历仍会继续影响抑郁症状。
