文章摘要
李荣贤,马文巧,贾慧贤,刘春梅,王朋,刘雅莉,刘俊婷,刘玉敏.急性脑梗死康复期老年患者自我认知情绪调节与社会支持对抑郁、焦虑情绪的影响[J].中国临床保健杂志,2023,26(3):342-346.
急性脑梗死康复期老年患者自我认知情绪调节与社会支持对抑郁、焦虑情绪的影响
Effects of self-cognitive emotion regulation and social support on depression and anxiety in elderly patients with acute cerebral infarction during convalescence
投稿时间：2023-03-07  
DOI：10.3969/J.issn.1672-6790.2023.03.012
中文关键词: 脑梗死  认知  情绪调节  康复  社会支持  老年人
英文关键词: Brain infarction  Cognition  Emotional regulation  Rehabilitation  Social support  Aged 〖FL
基金项目:
作者单位E-mail
李荣贤 联勤保障部队第九八○医院正定院区,心理二科,综合脑病科, 神经内科, 应用心理科,石家庄 058000 lirx007th@163.com 
马文巧 陆军军医大学士官学校附属医院妇产科  
贾慧贤 联勤保障部队第九八○医院正定院区,心理二科,综合脑病科, 神经内科, 应用心理科,石家庄 058000  
刘春梅 联勤保障部队第九八○医院正定院区,心理二科,综合脑病科, 神经内科, 应用心理科,石家庄 058000  
王朋 联勤保障部队第九八○医院正定院区,心理二科,综合脑病科, 神经内科, 应用心理科,石家庄 058000  
刘雅莉 联勤保障部队第九八○医院正定院区,心理二科,综合脑病科, 神经内科, 应用心理科,石家庄 058000  
刘俊婷 联勤保障部队第九八○医院正定院区,心理二科,综合脑病科, 神经内科, 应用心理科,石家庄 058000  
刘玉敏 联勤保障部队第九八○医院正定院区,心理二科,综合脑病科, 神经内科, 应用心理科,石家庄 058000  
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中文摘要:
      目的 探讨急性脑梗死康复期老年患者自我认知情绪调节与社会支持对抑郁焦虑情绪的影响。方法 选取2019年2月至2022年2月在联勤保障部队第九八○医院进行治疗的100例急性脑梗死康复期老年患者作为研究对象,使用抑郁自评量表(SDS)、焦虑自评量表(SAS)、认知情绪调节问卷(CERQ)、社会支持量表(SSRS)进行问卷调查,采用单因素和多因素分析方法,分析患者自我情绪调节、社会支持对抑郁及焦虑情绪的影响。结果 100例急性脑梗死老年患者中,检出抑郁患者45例,阳性率为45.00%,焦虑患者48例,阳性率为48.00%；女性患者抑郁、焦虑发生率高于男性(P＜0.05)；抑郁、焦虑患者的“适应性调节策略”评分低于非抑郁、焦虑患者(P＜0.05),“非适应性调节策略”评分高于非抑郁、焦虑患者(P＜0.05)；抑郁、焦虑患者的“客观支持”“主观支持”“支持利用度”及总分均低于非抑郁及焦虑患者(P＜0.05)；多因素logistic回归分析显示,性别、CERQ中“非适应性调节策略”评分是急性脑梗死老年患者抑郁及焦虑的危险因素(P＜0.05)；CERQ中“适应性调节策略”及SSRS中“主观支持”“客观支持”评分是急性脑梗死老年患者抑郁、焦虑的保护性因素(P＜0.05)。结论 急性脑梗死康复期老年患者抑郁、焦虑情绪受自我认知情绪调节及社会支持的影响,患者性别、CERQ中“非适应性调节策略”影响焦虑及抑郁情绪,提高情绪调节与社会支持水平有利于降低抑郁、焦虑的发生率。
英文摘要:
      Objective To study the effects of self-cognitive emotion regulation and social support on depression and anxiety in elderly patients with acute cerebral infarction during convalescence.Methods One hundred elderly patients with acute cerebral infarction during convalescence who were treated in 980 Hospital of joint logistics support force between February 2019 and February 2022 were selected as the research subjects.Self-rating Depression Scale (SDS),Self-rating Anxiety Scale (SAS),Cognitive Emotion Regulation Questionnaire (CERQ) and Social Support Rating Scale (SSRS) were used to conduct the questionnaire survey,and the effects of self-emotion regulation and social support on depression and anxiety were analyzed by univariate analysis and multivariate analysis.Results Among the 100 elderly patients with cerebral infarction,45 cases with depression were detected with a positive rate of 45.00%,and 48 patients were with anxiety with a positive rate of 48.00%.The incidence rates of depression and anxiety in female patients were higher than those in male patients (P<0.05).The scores of "adaptive adjustment strategy" in patients with depression and anxiety were lower than those in patients without depression and anxiety (P<0.05),and the scores of "non-adaptive adjustment strategy" were higher than those in patients without depression and anxiety (P<0.05).The scores of "objective support","subjective support" and "support utilization" and total scores were lower in patients with depression and anxiety than those in patients without depression and anxiety (P<0.05).Multivariate logistic regression analysis showed that gender and "non-adaptive adjustment strategy" score of CERQ were risk factors for depression and anxiety in elderly patients with acute cerebral infarction (P<0.05).The score of“adaptive adjustment strategy”of CERQ and scores of“subjective support” and "objective support" of SSRS were the protective factors for depression and anxiety in elderly patients with acute cerebral infarction (P<0.05).Conclusions Depression and anxiety in elderly patients with acute cerebral infarction during convalescence are affected by self-cognitive emotion regulation and social support.Gender and "non-adaptive regulation strategy" of CERQ affect anxiety and depression,and improving the emotion regulation and social support is beneficial to reducing the incidence rates of depression and anxiety.
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