肠易激惹综合征患者心理状态调查

Mental Status of the Patients with Irritable Bowel Syndrome

目的分析肠易激惹综合征(IBS)患者的心理状态。方法对60例IBS患者采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评定其焦虑、抑郁的主观感受,同时应用症状自评量表(SCL-90)及自编调查表对上述患者进行心理状态调查。结果应激事件和对疾病的认识不足是IBS患者产生心理障碍的主要原因;60例患者的SAS均分为(52.32±10.19)分,SDS均分为(54.90±11.70)分,且中、青年组的SAS、SDS均分高于老年组(P<0.05),但不同文化程度、性别间的SAS、SDS总分差异无显著性意义(P>0.05);除偏执与敌对外因子,本组患者的SCL-90得分均高于常模(P<0.05)。结论心理因素及应激与IBS发病有关,适当的心理干预能改善患者的症状,提高其生活质量。

Objective To analyze the mental status of the patients with irritable bowel syndrome （IBS）. Methods Sixty IBS patients were evaluated with Self Rating Anxiety Scale （SAS）, Self Rating Depression Scale （SDS）, Symptions Check List-90 （SCL- 90） and self-edited scale. Results The primary causes of mental disorder of IBS patients were the stress events and lacking knowledge for IBS; the average SAS scores of sixty IBS patients were 52.32± 10. 19, SDS scores were 54.90± 11.70; the average scores of SAS and SDS in the groups of midlife and young people were significantly higher than that in the group of agedness （ P 〈0.05）. The total scores of SAS and SDS were not significantly difference among the patients with different culture level and sex （ P 〉0.05） ; except the scores of crankiness and opposition, the average SCL-90 scores of the sixty IBS patients were significantly higher than the normal （P 〈0.05）. Conclusion IBS relates to mental status and stress, proper mental intervention can ease the symptom and improve the quality of the living.