Does literacy education improve symptoms of depression and self-efficacy in individuals with low literacy and depressive symptoms? A preliminary investigation

Does literacy education improve symptoms of depression and self-efficacy in individuals with low literacy and depressive symptoms? A preliminary investigation
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DOI:
10.3122/jabfm.2007.01.060058
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发表时间:
2007-01-01
影响因子:
2.9
通讯作者:
Hargraves, Rie
Hargraves, Rie
中科院分区:
医学3区
文献类型:
--
作者:
Francis, Laurie;Weiss, Barry D.;Hargraves, Rie

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背景和目的:文化水平低且有抑郁症状的个体,如果他们的治疗包括提高读写能力的教育,他们的抑郁症状会有更大的改善。读写能力的提高有助于抑郁症状的原因尚不清楚,但我们假设这可能是由于自我效能的提高。我们研究是否提供扫盲教育的个体,既抑郁症状和有限的扫盲可能提高他们的自我效能感。方法:我们研究了39名参加成人识字计划的个体,他们在进一步的患者健康问卷(PHQ-9)测试中有抑郁症状。当他们参加识字计划时,我们使用一般自我效能(GSE)量表监测他们的自我效能,并使用PHQ-9监测抑郁症状的严重程度。GSE和PHQ-9评分较基线的变化采用Wilcoxon sign rank Test进行评估。结果:31例(79.5%)受试者参与1年。自我效能感显著提高(P = 0.019),抑郁症状显著降低(P = 0.019)
Background and Objectives: Individuals with low literacy and symptoms of depression have greater improvement of depression symptoms when their treatment includes education to enhance literacy skills. The reason why literacy enhancement helps depression symptoms is unknown, but we hypothesize that it might be due to improved self-efficacy. We studied whether providing literacy education to individuals with both depression symptoms and limited literacy might improve their self-efficacy.Methods: We studied 39 individuals enrolled in an adult literacy program and who, on further testing with the Patient Health Questionnaire (PHQ-9) had symptoms of depression. While they participated in the literacy program, we monitored their self-efficacy using the General Self Efficacy (GSE) scale, and also monitored the severity of depression symptoms with the PHQ-9. Changes in GSE and PHQ-9 scores from baseline were assessed with the Wilcoxon Signed Ranks Test.Results: Thirty-one (79.5%) subjects participated for 1 year. There was a significant increase in their self-efficacy ( P =.019) and a significant decrease in depression symptoms ( P