通讯作者: 刘学明, liuxueming000@msn.com

DOI：10.12201/bmr.202602.00054

• 摘要：目的 探讨并分析抑郁症患者家庭照顾者连带病耻感现状及其影响因素，为临床制订干预措施提供参考。 方法 采用便利抽样法，选取2024年8月—12月石家庄市某三级综合医院精神科门诊及住院的210例抑郁症患者家庭照顾者为调查对象，采用一般资料调查表、连带病耻感量表、中文版智谋量表、中文版知觉压力量表、抑郁自评量表进行调查，采用单因素分析及多元线性回归分析抑郁症患者家庭照顾者连带病耻感的影响因素。 结果 最终纳入207例抑郁症患者家庭照顾者，有效问卷回收率为98.57%。抑郁症患者家庭照顾者连带病耻感得分为（45.23±11.45）分，处于中等偏上水平。连带病耻感与智谋水平呈负相关（r=-0.463 P＜0.001），与知觉压力、抑郁水平呈正相关（r=0.300、0.405，均P＜0.001）；多元线性回归结果显示，年龄、文化程度、所照顾患者年龄、所照顾患者是否有自杀自伤行为、智谋水平及抑郁情绪是抑郁症患者家庭照顾者连带病耻感的影响因素（P＜0.05），可以解释37.0％的变异度。 结论 抑郁症患者家庭照顾者连带病耻感处于中高水平，未来可结合相关因素制订精准系统的干预措施，减轻照顾者连带病耻感。

  关键词： 抑郁症; 家庭照顾者; 连带病耻感; 智谋

   

  Abstract: Objective To investigate and analyse the current status of affiliate stigma among family carers of individuals with depression and its influencing factors, thereby providing reference for formulating clinical intervention measures. Method Using convenience sampling, 210 family carers of patients with depression attending outpatient and inpatient services at the psychiatric department of a tertiary general hospital in Shijiazhuang were selected as survey subjects between August and December 2024. Data collection involved general information questionnaires, the Affiliate Stigma Scale, the Chinese Resourcefulness Scale, the Chinese Perceived Stress Scale, and the Self-Rating Depression Scale. Univariate analysis and multiple linear regression analysis were conducted to investigate factors influencing the affiliate stigma among caregivers of patients with depression. Results A total of 207 family caregivers of individuals with depression were ultimately included, with an effective questionnaire return rate of 98.57%. The mean score for affiliate stigma associated with depression among these caregivers was (45.23±11.45), indicating a moderately high level. Affiliate stigma showed a negative correlation with resourcefulness (r=-0.463, P<0.001) and a positive correlation with perceived stress and depression severity (r=0.300 and 0.405, both P<0.001). The results of multiple linear regression indicate that age, educational attainment, age of the patient being cared for, presence of suicidal or self-harming behaviors in the patient, resourcefulness level, and depression severity are factors influencing the affiliate stigma of family caregivers of individuals with depression (P<0.05), explaining 37.0% of the variance. Conclusion Family caregivers of individuals with depression exhibit moderate to high levels of affiliate stigma. In the future, targeted and systematic interventions addressing stigma associated with caregiving could be developed by integrating relevant factors, thereby alleviate the affiliate stigma with caregiving.

  Key words: ; ; ; 

  提交时间：2026-02-12

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• 序号	提交日期	编号	操作
  1	2026-01-29	10.12201/bmr.202602.00054V1	下载

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