Correlates of Depressive and Anxiety Symptoms in Young Adults with Spina Bifida *
Correlates of Depressive and Anxiety Symptoms in Young Adults with Spina Bifida *
复制标题
DOI：
10.1093/jpepsy/jsp094
复制
发表时间：
2010-08-01
影响因子：
3.6
通讯作者：
Braun, Patricia
中科院分区：
文献类型：
--
作者：
Bellin, Melissa H.;Zabel, T. Andrew;Braun, Patricia
目的以社会生态学理论为基础，探讨多层次生态因素与青壮年脊柱裂患者心理症状的独特关系。方法选取61名18-25岁的慢性阻塞性肺病患者，采用标准化的自我报告量表，测量其对慢性阻塞性肺病的态度、对家庭功能的满意度、慢性病护理模式（CCM）服务的满意度以及抑郁和焦虑症状。病历审查产生了SB临床数据。结果抑郁和焦虑症状的发生率较高，分层回归分析显示，近端个人因素（对SB的态度）和家庭因素（对家庭功能的满意度）与抑郁症状的相关性强于远端医疗系统因素（CCM服务）。自我报告的疼痛是与焦虑症状相关的唯一生态因素。结论本研究结果为青年SB患者心理症状的多因素筛查提供了依据。
Objective Based on social ecological theory, this study was designed to examine the unique relationships between multi-level ecological factors and psychological symptoms in young adults with spina bifida (SB). Method A sample of 61 individuals with SB, 18-25 years of age, completed standardized self-report measures of attitude toward SB, satisfaction with family functioning, Chronic Care Model (CCM) services, and depressive and anxiety symptoms. A chart review yielded SB clinical data. Results High rates of depressive and anxiety symptoms were found. Hierarchical regression analysis identified the proximal individual (attitude toward SB) and family (satisfaction with family functioning) factors as more strongly related to depressive symptoms than the distal healthcare system factor (CCM services). Self-reported pain was the only ecological factor associated with anxiety symptoms. Conclusions Study findings provide a potential foundation for multi-factor screening of young adults with SB at risk for psychological symptoms.