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首页> 外文期刊>Journal of affective disorders >Psychosocial impact of dysthymia: a study among married patients.
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Psychosocial impact of dysthymia: a study among married patients.

机译：心境障碍的社会心理影响：一项针对已婚患者的研究。

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BACKGROUND: Unlike major depression, the psychosocial impact of dysthymia has received far less research attention. This study attempted to assess the psychosocial consequences of dysthymia. METHODS: The sample consisted of 30 married patients with DSM-IV dysthymic disorder and a matched control group of 30 married patients with recurrent major depressive disorder (RDD), diagnosed using structured interviews. Apart from ratings of severity of depression, assessments of psychosocial impact included quality of life (QOL), disability, perceived social support and marital adjustment. Psychosocial parameters were evaluated using vernacular versions of well-validated scales previously used in similar populations. Matched normal/medically ill controls were derived from Indian studies which had assessed the same parameters using the same instruments. RESULTS: Patients with dysthymia were significantly impaired on measures of QOL, disability, social support and marital adjustment compared to normal/medically ill controls. On the other hand, the two groups of dysthymia and RDD were comparable on these measures apart from significantly lower social support among patients with dysthymia. Duration of illness and severity of depression emerged as the most important correlates, particularly of impaired QOL and disability levels. LIMITATIONS: Small hospital-based sample, normal/medically ill controls derived from other studies and cross-sectional assessments were the major limitations. CONCLUSIONS: Dysthymia had considerable adverse psychosocial impact in terms of QOL, functioning (disability), social support and marital adjustment. Severity and chronicity appeared to be important mediators of this negative psychosocial impact. Increased awareness, improved recognition and adequate treatment might help negate some of the untoward social consequences of this condition.
机译：背景：与重度抑郁症不同，心境障碍的社会心理影响受到的研究很少。这项研究试图评估心境障碍的心理社会后果。方法：该样本包括30名已婚DSM-IV重症性精神障碍的患者和30名已婚复发性重度抑郁症（RDD）的配对对照组，通过结构化访谈进行诊断。除了对抑郁症的严重程度进行评分之外，对社会心理影响的评估还包括生活质量（QOL），残疾，感知的社会支持和婚姻调整。使用先前在类似人群中使用的有效量表的白话版本评估社会心理参数。相匹配的正常/医学对照来自印度的研究，该研究使用相同的仪器评估了相同的参数。结果：与正常/医学疾病对照组相比，重度困难的患者在生活质量，残疾，社会支持和婚姻调整等方面均明显受损。另一方面，在这些措施上，两组重度障碍和RDD相当，但重度障碍患者的社会支持明显降低。疾病的持续时间和抑郁的严重程度是最重要的相关因素，尤其是生活质量和残障水平的降低。局限性：主要局限性是基于医院的小型样本，来自其他研究和横断面评估的正常/医疗控制。结论：心境障碍在生活质量，功能（残疾），社会支持和婚姻调整方面具有相当大的不利社会心理影响。严重程度和慢性似乎是这种负面社会心理影响的重要媒介。认识的提高，认可度的提高和适当的治疗可能有助于消除这种情况带来的一些不良社会后果。

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