急性心肌梗塞患者与正常人生活事件、生活方式和负性情绪的对照研究

A Comparative Study of Life Events,life Style,Negative Emotion Between Acute Myocardial Infarction Patients and Normal Persons

目的:探寻生活事件、生活方式、负性情绪与急性心肌梗塞(AcuteMyocardialInfarction,简AMI)的病因学联系。方法:对91例AMI病人和90位正常人应用LES、SSRS、HAMD、HAMA等量表和生活方式问卷、一般状况测查表进行对照调查。结果:与正常人对照,AMI组发作前有明显心理刺激因素的有72例(79.12%);AMI组负性生活事件分更高(P<0.01);AMI组的客观支持和主观支持和对支持利用度均明显低于正常组(P<0.01);生活方式方面,AMI组在饮食不良习惯、业余生活单调、缺乏锻炼,嗜烟酒,睡眠无规律等均明显高于对照组(P<0.01);负性情绪方面,AMI组在焦虑/躯体化、认知障碍、阻滞、绝望、睡眠障碍和焦虑抑郁总分均明显高于对照组(P<0.01)。结论:负性事件多发,缺乏亲人和社会支持,不良的生活方式和负性情绪可能是AMI的发病危险因素。

Objective： To study etiological relations of life events, life style, negative emotion with acute myocardial infarct （AMI）. Methods： 91 AMI and 90 normal persons were investigated with LES, SSRS, HAMD, HAMA, life-style questionnaire. Results： Compared with normal group, there are 72 patients （79,12%） who had obvious psychologic stimulant factors before onset in AMI group. AMI patients had higher scores in negative life events （P〈0.01）,clearly lower scores in social supports （P〈0.01）, clearly higher scores in harmful dietetic habits, monotonous amateur life, lacking physical exercises, having a liking for smoking and drinking and somnus unregulation of life style （P〈0.01）, and clearly higher scores in somatization disorder of anxiety and depression, cognitive disorder, retardation,desperation, leeping disorder, total scores of anxiety and depression （P〈0.01）. Conclusion： Negative life events, laking social supports, harmful life style and negative emotion are dangerous factors of AMI.