うつ病患者の生活困難感 : メランコリー親和型うつ病患者とメランコリー親和型でないうつ病患者の2事例の分析から

Abstract

To clarify how patients with depression perceived their living difficulties, two case studies were performed: of patients with depression with and without Typus melancholicus. Semi-structured interviews were conducted in accordance with an interview guide, and data were analyzed using the KJ method. Data from the interviews of the patient with depression with Typus melancholicus could be summarized under the title "Perception of Living Difficulties in Patients with Depression: the Process of Resolving Distress." The interview data from the patient with depression without Typus melancholicus could be summarized under the title "The Self-contained Cycle of All or Nothing and a Hint on How to Get out of it." In each case study, patients expressed either of the following: "I am consumed by my own thoughts and what I consider to be 'depression, ' and can't shake off the sense of tiredness" (Fatigue) or "Because I think it has to be all or nothing, I drown myself in a 'worthless me' attitude and get depressed because I think I can't do anything" (Quicksand). A common factor between them was "I am caught up in my own thoughts and thus feel bad." The findings suggested that patients with depression perceive their living difficulties in this way.