門診青少年憂鬱症患者心理社會因素之分析研究

A Study on Psychosocial Factors of Adolescents with Major Depression in Outpatients

劉淑言(Shu-Yen Liu) ； 蔡欣玲(Sing-Ling Tsai) ； 陳映雪(Ying-Sheue Chen) ； 吳聖良(Shang-Liang Wu) ； 陳美碧(Mei-Bih Chen)

《榮總護理》 22卷1期 (2005/03) Pp. 81-91

https://doi.org/10.6142/VGHN.22.1.81

摘要

本研究目的在瞭解影響青少年憂鬱症患者之社會心理相關因素，期望藉由研究結果能提供擬定介入措施之依據。研究採立意取樣，以病例對照方式取得47位經精神專科醫師診斷爲憂鬱症之門診青少年病患及128位無任何精神疾病之某高中學生進行問卷訪問。經由多變項邏輯迴歸分析發現「憤怒負向轉移」、「尋求醫療之面對因應」、「對未來負向看法」及「以偏蓋全完美主義」等四個變項與是否憂鬱症有顯著相關。根據以上結果，本研究提出護理上應用及未來研究之建議。

關鍵字

青少年憂鬱症 ； 心理社會因素

並列摘要

The study purpose was to make aware of the impact of psychosocial factors in major adolescent depression. The results have implications for designing interventions aiming at preventing the occurrence of major depression. A case control study design was used. 47 convenient samples were selected from a medical center diagnosed as major depression and 128 students from a high school with non-psychosis. Data were analyzed by multiple logistic regressions. The result showed that anger, transferring to negative strategies, positive coping skills in seeking medical help, negative thoughts toward future, and perfectionism were significant with depressive cases. Implications for nursing practice and future study are also suggested.

並列關鍵字

major adolescent depression ； psychosocial factors