Ⅱ型糖尿病患者的心理健康状况及个性特征分析

A Comparative Study of Mental Health State and Personality Charcteristics in Patients with Type Ⅱ Diabetes Mellitus.

目的 了解 型糖尿病患者的心理健康状况及个性特征。方法 采用症状自评量表 ( SCL-90 ) ,抑郁自评量表( SDS) ,焦虑自评量表 ( SAS)及卡特尔 1 6项人格特质测验问卷 ( 1 6-PF)对 5 6例 型糖尿病患者进行调查 ,并与 5 2例体检正常者进行对照。结果 型糖尿病患者在 SCL-90总分 ,阳性项目分 ,躯体化、焦虑、抑郁、恐怖以及 SAS、SDS得分与对照组相比 ,差异有显著性 ,P<0 .0 5～ 0 .0 1。 1 6-PF结果 : 型糖尿病患者在 E-恃强性 ,O-忧虑性 ,Q4 -紧张性 ,及次级人格因子 X1 (适应与焦虑 )得分高于对照组 ,在 C-稳定性 ,F-兴奋性及次级人格因子 Y2 心理健康得分低于对照组 ,两组相比差异有显著性意义。结论 型糖尿病患者存在明显的心理障碍 ,主要表现为躯体化、焦虑、恐怖、紧张、抑郁 ,同时 型糖尿病患者还出现人格特性的改变 ,主要表现为紧张、焦虑、敏感和情绪的不稳定 ,故对 型糖尿病患者在进行积极心理治疗的同时 。

Objective To study mental health state and personality characteristics in patients with type 2 diabetes mellitus.Methods 56 patient with type 2 diabetes mellitus and 52 normal people were tested with SCL-90,SDS,SAS and Cattell's 16-PF Questionnaire.Results The patient with type 2 diabetes mellitus were higher than the normal people in the totall score and somatological,anxiety,depression,fear of SCL-90,scores of SAS and SDS(P<0.05～0.01),and in E(emulative)、O(worry).Q4(tension.) and X1(fit and anxiety) of 16-PF(P<0.05～0.01).The patients with type 2 diabetes mellitus were lower in C(stability),F(excitation),Y1(mental health) of 16 PF(P<0.05).Conclusion The patients with type 2 diabetes mellitus have more psychosocial symptoms and unstable mood.