耻辱感及其与严重抑郁症中药物坚持的关联
Jingman Shi1, Yan Chen2, Yingchen Jiang1
1Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, 74 Zhongshan Rd 2, Guangzhou 510080, PR China; Guangdong Engineering Technology Research Center of Nutrition Translation, Guangzhou, 510080, PR China.
Psychiatry research
|December 9, 2023
概括
内化耻辱 (IS) 对严重抑郁症 (MDD) 中的药物坚持有负面影响. 针对IS的策略可能会改善MDD患者的抗抑郁药治疗坚持和恢复.
科学领域:
- 精神病学是一个精神病学.
- 心理健康研究 心理健康研究
- 临床心理学 临床心理学
背景情况:
- 大型抑郁症 (MDD) 影响着相当一部分人群.
- 耻辱感,无论是内化 (IS) 还是感知 (PS),是精神卫生保健中已知的障碍.
- 了解MDD的耻辱和治疗坚持之间的关系对于改善患者的治疗结果至关重要.
研究的目的:
- 评估MDD患者的内化耻辱 (IS) 和感知耻辱 (PS).
- 分析IS和PS与中国队列中药物坚持的关联.
- 确定与严重抑郁症中IS和PS相关的因素.
主要方法:
- 评估了522名在中国患有MDD的参与者的队列.
- 内部化的耻辱和感知到的耻辱是使用抑郁症耻辱度量 (DSS) 来衡量的.
- 使用药物坚持度评分表 (MARS) 评估了药物坚持度.
主要成果:
- 在MDD队列中观察到IS (76.0%) 和PS (84.5%) 的高患病率.
- 内化耻辱 (IS) 与药物坚持有显著的负面关联.
- 感知耻辱感 (PS) 与药物坚持没有显著的关联.
结论:
- 内化污名,而不是感知污名,是主要抑郁症中药物坚持的重要障碍.
- 通过具体干预措施针对内化耻辱可能会提高抗抑郁药物治疗的坚持.
- 改善药物坚持是提高MDD患者康复率的关键一步.
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