【摘要】 目的　探讨脑梗塞后抑郁与病前生活事件、社会支持以及应对方式的关系。方法　采用Hamilton抑郁量表、生活事件量表、应付方式问卷、社会支持量表等工具评定 30例脑梗塞后伴明显抑郁症状的患者 ,并与 30例不伴明显抑郁症状的脑梗塞及 30名健康人进行对照。结果　负性生活事件刺激量和生活刺激总量 ,抑郁组高于非抑郁组 ,非抑郁组高于健康组 ,差异具有显著性 (P <0 .0 1)。抑郁组寻求帮助因子得分低于健康对照组 (P <0 .0 1) ;抑郁组的退避因子得分高于非抑郁组和健康对照组分 (P <0 .0 1) ;抑郁组的主观支持得分低于健康对照组 (P <0 .0 1)。结论　近期负性生活事件刺激量高、不适当的应对方式和缺乏社会支持是影响脑梗塞后抑郁症状的重要心理社会因素。更多还原

【Abstract】 Objective To explore the relations between depression after cerebral infarction.the life events,social support and ways of coping. Methods The study involved 30 patients with obvious symptoms of depression after suffering from cerebral infarction 30 patients without obvious symptoms of depressions but also suffering from brain infarction and 30 healthy people, who were evaluated with Hamilton Depression Rating Scale,Life Event Scale,Ways of Coping Questionnaire and Social Support Rating. Results In terms of the amount of negative stimulation and the total stimulation in life events,there was significant difference between the patients with depression scored higher than those without depression whose score was higher than that of the healthy people.Also the depressed gained less than the healthy regarding the factor of seeking for help ,but more than the non-depressed and the healthy in the aspect of shunning people.Besides,the depressed got less subjective support than the healthy. Conclusion The main psychosocial factors that influence the symptoms of depression after cerebral infarction are the large amount of the stimulation of recent negative life events,unsuitable methods of coying and lack of social support.更多还原