本文關(guān)鍵詞： 抑郁 失獨(dú)者 潛在類別分析　出處：《中國全科醫(yī)學(xué)》2016年23期 　論文類型：期刊論文

【摘要】：目的對失獨(dú)者抑郁癥狀進(jìn)行潛在類別分析,了解失獨(dú)者抑郁癥狀的個體差異,以及不同人口學(xué)特征對潛在類別的影響。方法采取分層隨機(jī)整群抽樣的方法,于2014年9月—2015年12月對長沙市249例失獨(dú)者進(jìn)行抑郁自評量表(SDS)評分,對失獨(dú)者的抑郁狀況進(jìn)行潛在類別分析。并分析性別、年齡、婚姻狀況、家庭所在地對潛在類別的影響。結(jié)果共發(fā)放問卷249份,剔除30份未作答問卷,回收219份有效問卷,有效回收率為88.0%。本研究探索了1~5個潛在類別模型,隨著分類數(shù)逐漸增加,AIC、BIC、a BIC不斷減少,Entropy在4個類別時已最大,但是LMR不顯著,且BIC增大,因此,3個類別的分類模型最為合理,其中C1、C2、C3的類別概率分別為0.428、0.305、0.267。根據(jù)C1、C2、C3在SDS 20個條目上的條件概率,將其分別命名為高抑郁組(42.9%)、生理-悲觀組(31.5%)、低抑郁樂觀組(25.6%)。性別、年齡、婚姻狀況對潛在類別的影響,差異均無統(tǒng)計學(xué)意義(P0.05);家庭所在地對潛在類別的影響,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論失獨(dú)者的抑郁癥狀有明顯分類特征,可以分為3個潛在類別,分別為高抑郁、生理-悲觀、低抑郁樂觀,且家庭所在地可影響潛在類別。
[Abstract]:Objective to analyze the potential categories of depressive symptoms in patients with abstinence and to find out the individual differences of depressive symptoms and the effect of different demographic characteristics on the potential categories. Methods stratified random cluster sampling was used. From September 2014 to December 2015, the self-rating depression scale (SDS) was used to evaluate the depression status of 249 patients in Changsha, and to analyze their depression status, sex, age and marital status. Results 249 questionnaires were sent out, 30 unanswered questionnaires were excluded, 219 valid questionnaires were recovered, and the effective recovery rate was 88.0. In this study, 1 ~ 5 potential category models were explored. With the increasing of the classification number, the Entropy of AICI BICA BIC is the largest in the four categories, but the LMR is not significant, and the BIC increases. Therefore, the classification model of the three categories is the most reasonable. According to the conditional probability of C1C _ 2C _ 3 on 20 items of SDS, it was named as high depression group (42.9%), physiological pessimism group (31.5%), low depression optimistic group (25.66%), sex, age, marriage status influence on potential category. There was no significant difference (P 0.05), and the influence of family location on the potential category was statistically significant (P 0.05). Conclusion the depressive symptoms of the patients with loss of independence can be classified into three potential categories: high depression, physiological pessimism, and so on. Low depression and optimism, and the location of the family can affect the potential category.
【作者單位】： 中南大學(xué)湘雅護(hù)理學(xué)院護(hù)理心理學(xué)研究中心;湖南農(nóng)業(yè)大學(xué)東方科技學(xué)院;
【基金】：國家社會科學(xué)基金資助項(xiàng)目(14BSH137)——“失獨(dú)者”心理健康狀況及心理彈性作用機(jī)制研究 中南大學(xué)研究生創(chuàng)新項(xiàng)目(2016zzts510)——團(tuán)體積極心理干預(yù)在失獨(dú)者心理彈性的應(yīng)用研究
【分類號】：R749.4

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