消化性溃疡患者社会心理因素研究

Psycho social factors of the patients with peptic ulcer

目的研究消化性溃疡患者社会心理因素的特点及影响因素。方法运用生活事件量表、A型行为量表、多伦多述情障碍量表、抑郁自评量表、焦虑自评量表、应付方式问卷、社会支持问卷,测定46例消化性溃疡患者及49例正常对照组病前遭遇的生活事件、人格特征、应付方式、社会支持、患病后的心身健康状况及其影响因素。结果病例组本次患病前所经历的生活事件频数及紧张值,A型行为评分,消极应付方式评分,抑郁及焦虑分值均显著高于对照组。积极应付评分,社会支持总分减低。发现家族史、生活事件紧张总值、A型行为和抑郁为消化性溃疡的危险因素,而积极应付方式和社会支持为疾病的保护因子。结论消化性溃疡患者具有特殊的心理社会特征和心身健康状况,应采取积极的社会心理干预措施。

Objective To investigate the psychosocial factors in the patients with peptic ulcer. Methods The psychosocial factors were evaluated by LES, TABPQ, CS, SSS, SDS, SAS, TAS in 46 patients with psoriasis and 49 normal controls. Results The frequency of negative life events ,the stress of negative and total life events experienced before this episode in the patients were significantly higher than those of the controls. The scores of TH and CH of TABPQ , the scores of TAS Ⅰ Ⅱ Ⅲ Ⅳ, negative coping style and depression arid anxiety were significantly higher than those of the controls（P〈0.05）. The scores of positive coping style and social support in patients were significantly lower than those of the controls （P〈0.05）. Family history ,stress of negative life events ,type ＂A＂ behavior and depression were the risk factors , whereas the positive coping style and social supports were the protective factors for peptic ulcer. Conclusion The patients with peptic ulcer could have special psychosocial factors,and should be given psychosocial interventions.