Psychosocial factors of female patients with recurrent depression

Abstract

Objective To investigate psychosocial factors in the recurrence of female depression,and provide reliable basis for effective nursing.Methods There were 210 female patients with recurrent depression (observational group) and 217 female patients with a history of depression (control group) who were adopted into the study.Self-made questionnaire was used to record their general conditions,Hamilton Rating Scale for Depression (HAMA-17) was used to evaluate their clinical symptoms,Social Support Rating Scale (SSRS),Life Events Scale (LES),and Eysenck Personality Questionnaire (EPQ) were used to determine their psychosocial factors,and relative analysis as well as logistic regression analysis was used during the process.Results ( 1) Compared with control group,observational group was older,but younger on first onset,had more evident family history,and more obvious anxiety symptoms (P ＜0.05).In SSRS,both social subjective and objective support factor scores of observational group were significantly lower than those of control group [ (21.69 ± 5.24) vs (23.18 ± 4.80),(9.00 ± 2.77) vs (9.70 ± 3.14) ],and the differences were statistically significant (t =3.07,2.45,respectively; P ＜ 0.05 ).In LES,the quantity of total life events and the quantity of negative life events in observational group were higher than those of control group [ (46.25 ± 18.38) vs (32.39 ± 19.34),(37.01± 16.04 ) vs ( 26.86 ± 12.07 ) ],and the differences were statistically significant ( t =2.04,2.02,respectively ; P ＜ 0.05 ).In EPQ,the N factor score of observational group was ( 16.37 ±4.93),higher than that of control group (9.21±4.52),and the E factor score of observational group was (6.75 ± 4.56),lower than that of control group ( 13.44 ± 4.37 ),and both the differences were statistically significant (t =9.47,9.51,respectively; P ＜ 0.05 ).(2)The logistic regression analysis showed that marital status,family heredity,negative life events,neurotic personality and objective support were major hazard factors for the recurrence of female depression.Conclusions Recurrent attacks of female depression are related to patients' general conditions as well as psychosocial factors,and the results of this study provide a theoretical foundation for the implementation of mental nursing intervention. Key words: Nursing; Female; Recurrence; Depression; Psychosocial factors