憂鬱症病患自我掌控信念、社會支持與憂鬱程度之相關性及影響因素探討

Abstract

本研究的主要目的是在探討憂鬱症病患之自我掌控信念、社會支持、與憂鬱程度之相關性及其影響因素，採用橫斷式量性研究設計，於自民國九十四年三月至九十四年四月間，以立意取樣方式在台北某醫學中心經病患同意後進行收案，以結構式問卷（包括人口學資料表、憂鬱症量表、社會支持量表、自我掌控信念量表）收集資料，並進行資料分析。研究結果發現憂鬱症病患憂鬱程度與自我掌控信念、社會支持呈負相關，而自我掌控信念與社會支持呈正相關。由逐步複廻歸分析結果發現，「自我掌控信念」、「社會支持」、「年齡」、「無業」可顯著預測憂鬱程度60%。「自我掌控信念」為預測憂鬱程度的最強獨立預測因子，且對「年齡」、「無業」、「經濟狀況」、「社會支持」與憂鬱程度有部份或完全中介作用。本研究結果建議臨床上對於憂鬱症病患之照護應注意其自我掌控信念，提供促進自我掌控信念提升之措施有助於減輕憂鬱症個案之憂鬱程度。

Abstract The purpose of this study was to discuss the relation of mastery, social support and depression in patients with depressive disorder. Cross-sectional quantitative study and purposive sampling method were designed. Data collection and analysis was conducted through structural questionnaires (including demographics, social support scale, mastery scale, CESD scale) at a medical center in Taipei. Results showed that patients with depression whose degree of depression was negative correlated with mastery and social support, and mastery was positive correlated with social support. Regression statistics results showed that mastery, social support, age, loss of jobs can predict degree of depression up to 60 percent. The mastery was the strongest independent predictable factor to degree of depression, and had partial or total mediate effects to age, loss of jobs, financial condition, and social support. The result of this study suggested that clinically the care of patients with depression should focus on their confidence in mastery and provide strategies to promote their confidence in mastery, which can effectively reduce the degree of depression of those patients.