卒中后抑郁病人的病前人格及相关因素分析

Analysis of Pre-morbid Personality and Correlative Factors in Patient with Post-stroke Depression

目的探讨卒中病人的病前人格及相关因素与卒中后抑郁(PSD)发生的相关性。方法对PSD病人(病例组)29例和脑卒中病人(对照组)32例进行艾森克人格问卷(EPQ)调查,并记录每位病例的相关资料。结果男、女性病例组N值均较对照组大(均P<0.05),偏回归系数>0和优势比为1.504;而E值均较对照组小(均P<0.05),偏回归系数<0和优势比为0.645。男、女性病例组P值、L值与对照组比较差异均无统计学意义(均P>0.05)。结论PSD病人的病前人格中有更多的情绪不稳定和性格内向,情绪不稳定和性格内向与PSD有相关性,是其危险因素。

Objective To explore the oecurrenced correlation between pre-morbid personality and correlative factors in patient with post stroke depression （PSD） and stoke. Methods Twentynine patients with PSD （case group） and 32 patients with subacute stroke （control group） investigated of eysenck personality questionnaire（EPQ）. The recording information of each case was correlative. Results N value of male and female case group was higher than those in control group （P〈0. 05 ,respectively）. The partial regression coefficient〉0 and odds ratio was 1. 504;while E value was reversed（P〈0.05, respectively）, partial regression coefficient〈0, odds ratio 0. 645. P value, L value were no significant different in male and female case groups （P〉0.05, respectively）. Conclusion Unstable emotion and introverted personality show more frequently in patient with PSD,which maybe correlative in the occurrence of depression in patient with stroke. They are risk factors of PSD.