女性憂鬱症患者生病及復原歷程之研究

The process of illness and recovery from depression in women

王豔萍

指導教授 ： 鄔佩麗

國立臺灣師範大學/教育學院/教育心理與輔導學系/碩士(1999年)

摘要

本研究的目的在於從社曾文化脈絡的觀點下，了解台灣女性憂鬱症患者其生病及復原歷程中的經驗，受到那些因素的影響，以期能夠找出與其生病及復原有關的影響因子，以提供患者、患者家屬及助人專業者的參考。
本研究之受訪者邀請自醫院精神科患者中被診斷為罹患憂鬱症的女性，且其在接受治療後，本人及醫生均認為其病情已大幅度改善者。在經聯繫邀請後進入研究。
研究方法採質化研究取向進行資料的收集與分析。首先以半結構的訪談大綱，對三位不同年齡層的女性受訪者進行深度訪談，獲得受訪者對自己生病及復原歷程的敘說，之後將訪談內容轉謄為逐字稿。之後由於時間的限制，只作二位受訪者的資料分析。將二位受訪者敘說的內容作資料分析，再以分析完成的敘說資料，參考訪談日誌，分別寫出二位受訪者的生病及復原歷程的生命故事。
本研究的發現如下：
一、女性罹患憂鬱症深受社會文化環境因素所影響。其重要因素如：重男輕女的觀念、對女性的性別刻板化教育與期待、社會變遷下人生願望的失落、重大失落事件。
二、不同年齡層的女性，由於其所身處的社會文化背景有所不同，因此與其罹患憂鬱症有關的相關影響因素也有相當大的差異。
三、影響女性憂鬱症患者復原的因素主要有：自我的正向特質、求生存的力量與決定、將痛苦說出來、接受事實，放棄無法達成的期待、自我的正向改變、以正面的方式看待人生，找到活下去的理由、失落的調適、社會支持的介入、接受醫療的協助。
最後，根據研究的結果，對醫療體系、及未來的研究方向提出建議。

關鍵字

女性憂鬱症患者

並列摘要

The purpose of this study was to understand the process of illness and recovery from depression in women, the factors associated with and the roles that society and culture played in the process.
The co-researchers were invited from female patients who have been diagnosed major depression by psychiatrist and now have recovery or improvement from depression. Qualitative in-depth interview was conducted to collect three co-researchers description of their experience about the process of illness and recovery from depression. Because of the consideration of limited time, researcher analyzed the data of two co-researchers only. The interview data was transcribed and analyzed carefully. Then the life stories were written based on the analyzed data.
Afterwards, two life stories were compared and the following finding were discussed:
1. The risk factors about women' depression are affected by socialculture. For examples gender discrimination, gender stereotype education to women, the hopes lose by social changes, significant loss.
2. The experiences of Women's depression differed by the ages and socialculture context associated with.
3. Factors that helping women's recovery from depression were: the positive characters of personality, the power and decision of surviving, accept the fact and give up the expectation that can't carry out, the positive changes of self, face the life with positive attitude, finding the way for life, adjustment of loss, social support, seeking helping from medicine.
Based on the above findings, suggestions were presented.

並列關鍵字

depression

參考文獻

吳紅鑾(民84)：性別特質與女性憂鬱症之關係:路徑模式之應用。高雄醫學院行為科學研究所碩士論文(未出版)。

朱嘉琪(民86)：台灣婦女女性意識發展歷程之研究—以三位女性主義者的生命故事為例。國立台灣師範大學教育心理與輔導研究所碩士論文(未出版)。

Carson, R. C. & Butcher, J. N. (1992).Abnormal psychology and modern life.(9th ed.). New York: Harper Collins Publishers.

Gilbert, P. (1992).Depression-the evolution of powerlessness. NY: Guilford press.

Graham, H. (1984).Women, health and the family. NY: Harvester wheatsheaf.