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患难之交。III. 事件发生后的情绪状态。

Partners in adversity. III. Mood status after the event.

作者信息

Surtees P G, Miller P M

机构信息

MRC Biostatistics Unit, University Forvie Site, Cambridge, UK.

出版信息

Eur Arch Psychiatry Clin Neurosci. 1994;243(6):311-8. doi: 10.1007/BF02195725.

Abstract

This paper presents further results from a longitudinal study of three groups of married women undertaken in Edinburgh. Each group shared a common stressful experience. In the first group the marital partner had recently died; in the second the marital partner had recently experienced a myocardial infarction (MI) and the third group consisted of women recently entering a Women's Aid refuge. Interviews were completed shortly following the adverse experiences and where possible again about 3 months later. This report presents details of the (self-reported) mood status of the respondents at both assessment occasions in terms of the degree, form and change in symptomatic distress over what were equivalent time periods for the three groups. Mood status was determined on the basis of the conventionally scored 30-item GHQ (General Health Questionnaire) and according to a criterion-based scoring procedure. On this basis at initial interview almost 8 out of 10 of the widows were above the advised GHQ cut-point, almost 6 out of 10 of the refuge seekers and over 4 out of 10 of the coronary wives. At follow-up these proportions had almost halved for the widows and coronary wives but had changed very little for those few refuge-seekers successfully re-interviewed. According to a criterion-based measure at initial interview, the recent widows had an anxiety rate 5.2 times and a depression rate ten times that of a general population sample of women. Details of the changes in mood status amongst the groups over the follow-up are presented.

摘要

本文展示了在爱丁堡对三组已婚女性进行的纵向研究的进一步结果。每组女性都有共同的压力经历。第一组中,其配偶最近去世;第二组中,其配偶最近经历了心肌梗死(MI);第三组由最近进入妇女援助避难所的女性组成。在这些不良经历发生后不久进行了访谈,并在可能的情况下约3个月后再次访谈。本报告呈现了在三个组等同时间段内,两次评估时受访者(自我报告)的情绪状态细节,包括症状困扰的程度、形式和变化。情绪状态是根据传统计分的30项一般健康问卷(GHQ)以及基于标准的计分程序来确定的。在此基础上,初次访谈时,近十分之八的寡妇高于建议的GHQ临界点,近十分之六的避难所寻求者以及超过十分之四的患冠心病丈夫的妻子高于该临界点。随访时,寡妇和患冠心病丈夫的妻子的这些比例几乎减半,但对于少数成功接受再次访谈的避难所寻求者而言,这一比例变化很小。根据基于标准的测量,初次访谈时,最近丧偶的女性焦虑率是女性普通人群样本的5.2倍,抑郁率是其10倍。文中呈现了随访期间各组情绪状态变化的详细情况。

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