This cross-sectional study aims to examine the relationships between psychological resilience, gratitude, and depression levels of patients with chronic diseases (cancer, cardiovascular, and kidney diseases) in the context of medical social work practice. A survey model, one of the quantitative research methods, was used in the study. The sample consisted of 160 patients with chronic diseases who were regularly followed up for treatment in the polyclinics of Oltu State Hospital and Erzurum City Hospital operating in Türkiye. The hierarchical logistic regression model was used in the analysis of the data. According to the results, psychological resilience was the strongest predictor of depression in chronic patients, even when some sociodemographic and disease-related variables were controlled. While gratitude was found to have depression risk-reducing effects, some of this may be related to age. Also, high dependence levels and previous depression diagnosis were determined as important risk factors against depression. Medical social workers may benefit from interventions aimed at increasing psychological resilience and gratitude in the prevention and treatment of depression in patients with chronic diseases.

中文翻译：

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慢性病患者抑郁、心理弹性和感恩水平之间的关联：对医学社会工作实践的影响

这项横断面研究旨在检查慢性病（癌症、心血管和肾脏疾病）患者在医学社会工作实践中的心理弹性、感恩和抑郁水平之间的关系。该研究使用了调查模型，这是定量研究方法之一。样本包括 160 名慢性病患者，他们在土耳其运营的 Oltu 州立医院和埃尔祖鲁姆市医院的综合诊所接受定期随访治疗。分层 logistic 回归模型用于数据分析。根据结果，心理弹性是慢性患者抑郁症的最强预测指标，即使一些社会人口学和疾病相关变量得到控制。虽然发现感恩具有降低抑郁风险的作用，但其中一些可能与年龄有关。此外，高依赖水平和既往抑郁症诊断被确定为抑郁症的重要危险因素。医务社工可能受益于旨在提高心理弹性和感恩之心的干预措施，以预防和治疗慢性病患者的抑郁症。