Depression‐linked beliefs in older adults with depression
Depression‐linked beliefs in older adults with depression
复制标题
患有抑郁症的老年人与抑郁症相关的信念
DOI：
10.1111/jocn.15081
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发表时间：
2020
影响因子：
4.2
通讯作者：
Tanaka Koji
中科院分区：
文献类型：
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作者：
菊地 淳;板橋 直人;吉岡 一実;岡田昌也,坪井貴嗣,大江悠樹,戸部有希子,吉田信子,大瀧純一,渡邊衡一郎,浅沼奈美;秋定真有,坪井桂子;菊地 淳;秋定真有;菊地 淳;Tanaka Koji
目的与目的为了阐明日本老年抑郁症患者与抑郁症相关的信念。背景随着全球人口老龄化，老年抑郁症患者的护理已成为世界范围内的一个重要问题。在本文中，“信念”的概念属于导致疾病困扰的现象，可以通过谈话治疗来缓解。虽然以前的研究集中在精神疾病和抑郁症患者的疾病信念，还没有研究集中在老年人与depression.DesignQualitative，叙事研究为基础的方法。MethodsObservation和1-5叙事访谈持续60-90分钟进行了与每个19个老年人与抑郁症在日本精神科病房。对所产生的说明进行了专题分析，以得出相关的主题和次主题。本研究的报告坚持COCOCOST guidelines.ResultsFour themes and 12 subthemes were revealed.老年抑郁症患者的抑郁相关信念是（1）“内疚和遗憾”，（2）“悲观主义”，（3）“治疗无效”和（4）“渴望被亲人和社会需要”。结论老年抑郁症患者的抑郁相关信念构成了反映性格倾向的精神痛苦，包括与衰老有关的损失和发展挑战的经历以及被试的自然勤奋和对他人的考虑。在反思过去时容易感到内疚和遗憾，并通过对话和为患者提供积极的肯定来减轻痛苦。(2)理解并减轻老年失去亲人的痛苦。(3)帮助患有抑郁症的老年人形成更轻松的生活态度，使他们即使因年老而遭受损失，也能保持自尊和自我价值感。
Aims and objectivesTo clarify beliefs linked with depression among older adults with depression in Japan.BackgroundAs a result of global population ageing, caring for older adults with depression has become an important issue worldwide. In this paper, the concept of “beliefs” pertains to phenomena that lead to distress about disease and can be alleviated through talk therapy. While previous studies focused on illness beliefs in people with mental illness and depression, no studies have yet focused on such beliefs among older adults with depression.DesignQualitative, narrative‐research‐based method.MethodsObservation and 1–5 narrative interviews lasting 60–90 min were conducted with each of 19 older adults with depression in a Japanese psychiatric ward. The resulting narratives were thematically analysed to derive relevant themes and subthemes. Reporting of this research adheres to COREQ guidelines.ResultsFour themes and twelve subthemes were revealed. Depression‐linked beliefs among older adults with depression were (1) “guilt and regret,” (2) “pessimism,” (3) “futility of treatment” and (4) “desire to be needed by loved ones and society.”ConclusionDepression‐linked beliefs among older adults with depression constituted spiritual pain reflecting character tendencies, including experiences of loss and developmental challenges related to ageing as well as subjects' natural diligence and consideration for others.Relevance to clinical practice(1) Helping nurses better understand distress experienced by older adults with depression, who are prone to feel guilt and regret when reflecting on the past and to alleviate distress through dialogue and providing positive affirmation for patients. (2) To understand and assuage distress over experiences of loss in old age. (3) To help older adults with depression form a more relaxed attitude towards life, so that even if they have experienced loss as a result of old age, they can maintain their self‐esteem and existential sense of self‐worth.