摘要
对５０例临床上没有心脏器质性损害证据的室性心律失常（ＶＡ）患者和５０例正常人进行对照研究。结果表明：病例组所经历的生活事件频数、负性生活事件紧张值、Ａ型行为评分、消极应付方式均明显高于对照组（Ｐ＜０．００１）。社会支持总分和积极应付方式均显著低于对照组。多元线性回归发现ＶＡ的主要社会心理危险因素为：神经质、焦虑、敌对和负性生活事件，而社会支持和阳性生活事件为保护因素。这些均提示ＶＡ的发生发展是多因素共同致病的结果，其中社会心理环境起着极为重要的作用。
A case-control study was conducted on 50 patients with ventricular arrhythmia(VA)without clinical organic heart disease as experimental group and 50 normal volunteered as the control group. They were matched for age,sex,occupation,educational level and marital status. The results showed the VA patients had higher scores of 'Neuoticism' on Eysenck personality questionnaire,more life events,especially negative life events,higher scores of A pattern behavior,more severe symptom on symptom check-list 90,more negative coping styles and lower the social support scale(SSS)and postive coping styles than those of the control.Multivariative regression analysis indicated that the risk factors on the etiology of VA were negative life events, anxiety,hostility and neuoticism,but positive life events and SSS were protected factors. The relationship between the occurrence of VA and psychosocial factors was discussed.
关键词
室性
心律失常
社会心理因素
相关性
Ventricular arrhythmia Psychosocial factor Psychosomatic disease Clinical psychological test Mutivariative regression analysis
