女性うつ病患者の認知の特徴と症状との関連

The Relationship between Cognitive Characteristics and Symptoms in Female Patients with Depression

要旨

　本研究は，日本における，女性うつ病患者の認知の特徴と症状との関連を記述することを目的とした．性別による比較分析を行う意図から男女合計10名の対象者に対してインタビューを行い，オープン・コード化，カテゴリー化，さらにカテゴリー精錬のため理論的サンプリングを行った．その結果，中心となるカテゴリーには【依存対象へのしがみつき】が抽出され，女性うつ病患者の場合，《関係性における過剰な役割意識》《世話されることへの浸かりすぎ》《関係性・コミュニケーション上のコントロール喪失》の3つの特性で構成されていた．またそれらはうつ病の症状と相互に関連し，悪循環もみられた．今後，女性うつ病患者へのケア技術の開発の際には，女性の性役割とうつ病との関連を考慮すると同時に，3つの特性と症状との相互関係，悪循環を断ち切るため，認知療法によるアプローチを活用することが有効と示唆された．

Abstract

　The objective of this study was to describe the relationship between cognitive characteristics and symptoms in female patients with depression in Japan. Therefore, a gender-based comparative analysis of 10 male and female subjects was conducted. All subjects were interviewed, and open coding, categorizing, and theoretical sampling for category-refining purposes were conducted. As a result, “fixation on subject of dependence”was identified as the central category, and this category was found to comprise the following 3characteristics in depressed female patients: “excessive role awareness in relationships,”“overdependence on receiving care,”and “loss of control in relationships or communication.”In addition, these characteristics were mutually related to symptoms of depression, and a vicious cycle. These results suggest that the development of effective caring techniques for depressed female patients should take into consideration the relationship that exists between female gender roles and depression, while also applying a cognitive therapy-based approach to breaking the mutual relationships and vicious cycle between the 3cognitive characteristics and the symptoms of depression.