病毒性肝炎患者142例心理健康问卷调查(英文)

Mental health questionnaires of 142 viral hepatitis patients

摘要背景:病毒性肝炎患者容易出现焦虑、抑郁及其他精神症状,对其进行心理健康状况调查,从而进行心理干预是十分必要的。目的:研究病毒性肝炎对患者心理健康状况。设计:横断面调查研究。地点、对象和方法:以1999/2000武汉大学人民医院住院患者中确诊的142例病毒性肝炎患者为调查对象,以全国常模为对照。用症状自评量表(SymptomChecklist90,SCL-90)进行调查。主要观察指标:本研究主要观察病毒性肝炎对患者的心身影响,如思维、情感、行为、人际关系及学习习惯等。结果:病毒性肝炎患者SCL-90中总分(145.75±44.81)、总均分(1.62±0.50)、阳性项目数(35.22±23.09)、躯体化(1.76±0.64)、抑郁(1.68±0.61)、焦虑(1.59±0.60)、恐怖(1.39±0.55)及精神病性(1.44±0.45)均显著高于中国常模(t=3.467～7.262,P<0.01)。其强迫得分也高于中国常模(t=2.625,P<0.05)。而人际关系与敌对的得分与常模的差别无统计学意义(P>0.05)。结论:病毒性肝炎患者存在比较广泛的心理健康问题。

BACKGROUND:Viral hepatitis patients are easy to suffer from anxiety, depression and other mental symptoms.It is necessary to conduct mental health investigation and provide psychological intervention to them. OBJECTIVE: To study the effects of viral hepatitis to the mental health of patients. DESIGN: Cross sectional study. SETTING,PARTICIPANTS and INTERVENTIONS: A total of 142 viral hepatitis cases diagnosed by People's Hospital of Wuhan University during 1999 to 2000 were selected and compared with national norm. Symptom checklist 90 (SCL 90) was used to as the instrument. MAIN OUTCOME MEASURES: This study mainly focused on the effects of viral hepatitis to mind and body such as thinking, emotion, behavior, interpersonal relations and learning habit and so on. RESULTS: In patients with viral hepatitis, the total score of SCL 90 was 145.75±44.81,mean score was 1.62±0.50,number of positive items 35.22±23.09,somatization 1.76±0.64,depression 1.68±0.61, anxiety 1.59±0.60,phobic anxiety 1.39±0.55 and psychoticism 1.44±0.45,all the items scored much higher than those in national norm(t=3.467-7.262,P< 0.01).The score of compulsive was also higher than national norm (t=2.625,P< 0.05).However, there was no statistical significance between the scores of interpersonal sensitivity as well as hostility in patient group and national norm (P >0.05). CONCLUSION: There are extensive mental health problems existing in viral hepatitis patients.