【摘要】 目的 探讨相依关系二元干预复发性抑郁障碍患者抑郁情绪及二元应对水平的影响效果。方法 采取方便抽样的方法，选取2023年06月～2024年05月某三级精神病专科医院心理科诊断为复发性抑郁障碍的住院患者42例和对照组43例，研究中有脱落，最终各完成40例。对照组给予常规护理及住院期间路径化健康教育。研究组在对照组基础上增加相依关系二元应对干预。结果 (1)干预后，两组患者及配偶二元应对水平均高于干预前（P<0.05），而研究组患者和配偶二元应对水平显著高于对照组（P<0.05）。(2)研究组患者及配偶干预后相依关系评分显著优于干预前（P<0.05）。(3)两组患者干预后抑郁评分显著低于对照组（P<0.05）；两组配偶照顾者干预后抑郁评分显著低于对照组（P<0.05）。结论 相依关系二元干预方案临床实施，可以有效提升复发性抑郁障碍患者及配偶照顾者的相依水平及二元应对水平，一定程度地减轻干预对象的抑郁情绪。更多还原

【Abstract】 Objective To explore the effects of mutuality binary intervention on depressed mood and dyadic coping levels in patients with recurrent depressive disorder. Methods A convenient sampling method was adopted to select 42 inpatients diagnosed as recurrent depressive disorder in the department of psychology of a tertiary psychiatric hospital from June 2023 to May 2024 and 43 control cases. There were some discases in the study,and 40 cases were completed in each case. The control group was given routine nursing and routing health education during hospitalization. The study group added dependent relationship dyadic coping intervention on the basis of the control group. Results(1)After intervention, the dyadic coping level of patients and spouses in both groups was higher than before intervention(P<0.05), and the dyadic coping level of patients and spouses in the study group was significantly higher than that in the control group(P<0.05).(2)The scores of patients and spouses in the study group were significantly higher after intervention than before intervention(P<0.05).(3)Depression scores in 2 groups after intervention were significantly lower than those in control group(P<0.05); Depression scores of spousal caregivers in two groups were significantly lower than those in control group after intervention(P<0.05). Conclusion The clinical implementation of the binary intervention plan for mutuality can effectively improve the level of interdependence and dyadic coping skills of patients with recurrent depression and their spouse caregivers, and to some extent alleviate the depressive emotions of the intervention subjects.更多还原