Can depression in psychogeriatric inpatients at one year follow-up be explained by locus of control and coping strategies?
Can depression in psychogeriatric inpatients at one year follow-up be explained by locus of control and coping strategies?
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DOI：
10.1080/13607863.2016.1262817
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发表时间：
2018-01-01
影响因子：
3.4
通讯作者：
Helvik, Anne-Sofie
中科院分区：
文献类型：
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作者：
Bjorklof, Guro Hanevold;Engedal, Knut;Helvik, Anne-Sofie
目的：抑郁症（晚年）的治疗是好的。晚期抑郁症治疗后短期预后良好，但长期预后不佳。为了确定可改变的因素，我们想研究抑郁症患者的心理控制源和应对策略是否与随访时抑郁症的预后相关，调整了社会人口学信息和健康变量。（平均年龄75.4岁; SD = 6.6）随访（中位数13.7个月，Q1-Q3 386-441），采用抑郁症诊断评价（ICD-10）和抑郁症状评估（MADRS）。采用行为控制源量表（Locus of Control of Behavior，LoC-scale）和应对方式问卷（Ways of Coping Questionnaire，WOC-scale）对患者的应对方式进行评估。在校正线性回归分析中，基线时较强的外部LoC和较低的MMSE-NR评分与较高的抑郁症状评分（MADRS）显著相关。在调整后的Logistic回归分析中，基线时更多使用以问题为中心的应对方式，较低的I-ADL功能，而不是以情绪为中心的应对方式与抑郁（ICD-10）显著相关，在随访时，在调整后的Logistic回归analysis.Conclusion：LoC和应对策略与基线时抑郁症的预后相关，并可进一步研究作为基线干预策略选择的指标。
Objectives: Treatment of depression (in late life) is good. The short-term, but not long-term prognosis after treatment of depression in late life is good. To identify modifiable factors, we wanted to examine whether coping in terms of locus of control and coping strategies in depressed patients were associated with the prognosis of depression at follow-up, adjusted for sociodemographic information and health variables.Method: In total, 122 patients (mean age 75.4 years; SD = 6.6) were followed up (median 13.7 months, Q1-Q3 386-441) with a diagnostic evaluation(ICD-10) for depression and assessment of depressive symptoms (MADRS). Coping was assessed using Locus of Control of behavior (LoC-scale) and Ways of Coping questionnaire (WoC-scale).Results: At follow-up, 37.7% were diagnosed with a depressive episode. A stronger external LoC and lower MMSE-NR score at baseline were in adjusted linear regression analysis significantly more associated to higher depressive symptom scores (MADRS). More use of problem-focused coping, a lower I-ADL functioning, but not emotion-focused coping at baseline were significantly associated with being depressed (ICD-10), at follow-up in adjusted logistic regression analysis.Conclusion: LoC and coping strategies at baseline were associated with the prognosis of depression at follow-up, and may further be studied as indicators for choice of baseline intervention strategies.