银屑病患者家庭心理氛围与其病情变化的关系研究

The Study of Relation between Family Psychological Atmosphere of Patients with Psoriasis and the Change of Illness State.

目的 探讨银屑病患者及家属的心理特点以及患者的家庭心理氛围与病情变化的关系。方法 使用自评焦虑量表( SAS)、流调中心用抑郁量表 ( CES-D)、多伦多述情障碍量表 ( TAS-2 0 )和特质应对方式量表等心理测量工具对廊坊市人民医院皮肤科门诊银屑病患者 3 0例及家属 3 0人进行了测试。结果 银屑病患者的焦虑量表、抑郁量表、述情障碍量表、应对方式量表的得分和家属得分均无显著差异。但患者和家属的述情障碍量表的得分与焦虑和抑郁均存在显著相关 ;患者的焦虑和抑郁分数均与家属的积极应对得分之间存在正相关 ;家属样本中 ,焦虑和抑郁与积极应对呈较高的负相关 ,与消极应对呈正相关。结论 银屑病患者和家属均不同程度的存在一些负性情绪 ,由此形成的不良家庭心理氛围又成为银屑病患病的继发原因 ,提示创造一个良好的家庭心理氛围有利于银屑病患者的转归。

Objective To probe into the relation between the psychological feature of patients with psoriasis along with their family psychological atmosphere and the change of illness state. Methods The Self-Rating Anxiety Scale (SAS), Center for Epidemiologic Studies Depression Scale (CES-D), Toronto alexithymia scale (TAS-20), Trait Coping Style Questionaire and other psychological measurement tools were adopted to test the 30 patients with psoriasis and their family in the department of skin of Lang Fang people’s hospital.Results There is no remarkable difference on the score of the Self-Rating Anxiety Scale, Depression Scale, alexithymia scale, Trait Coping Style Questionaire between patients and their family. However, the patients and their family’s alexithymia scale score have remarkable correlation with anxiety and depression, family positive coping score has positive correlation with the score of Anxiety Scale and Depression Scale. In the family sample, Anxiety and Depression have highly negative correlation with positive coping and positive correlation with negative coping.Conclusion Patients with psoriasis and their family have some negative mood and the ill family psychological atmosphere which comes out of negative mood becomes a inducement of getting psoriasis. Therefore, Providing a good family psychological atmosphere will do good to the recovery of patients with psoriasis.