外伤后脊髓损伤患者抑郁焦虑水平影响因素

A factory analysis of depressive and anxiety status in patients with spinal cord injury after trauma.

目的分析外伤后脊髓损伤患者的焦虑抑郁水平及其相关因素。方法对脊髓损伤患者50例进行问卷调查,包括一般状况调查表、艾森克人格问卷、社会支持量表、应付方式问卷。采用汉密顿抑郁、焦虑量表进行抑郁焦虑水平测评,并对其影响因素进行分析。结果50例患者中有抑郁症状者49例,焦虑症状者48例。其中抑郁程度轻度者8例,抑郁程度中度者19例,抑郁程度重度者22例;可能有焦虑者11例,焦虑程度轻度者25例,明显焦虑者10例,重度焦虑者2例。人口学因素中,只有性别与焦虑有回归关系,性别与抑郁有相关性(r=-0.26)。抑郁程度与人格特征的内外向有关,焦虑程度与人格内外向和神经质有关,抑郁与应付方式中的自责、退避有回归关系,焦虑与应付方式的合理化呈回归关系,抑郁、焦虑水平与社会支持总分呈回归关系。结论外伤后脊髓损伤患者抑郁焦虑水平受到患者人格、应对方式等多因素的影响。

Objective To investigate the related factors of anxiety and depression status in patients with spinal cord injury after trauma. Methods A total of 50 patients with spinal cord injury after trauma were assessed with the Eysenck Personality Questionnaire（EPQ）, Social support scale, Coping style scale, HAMA and HAMD. Results There were 49 patients having depressive symptoms and 48 patients having anxiety symptoms. Among 49 patients with depressive symp- toms, the symptoms of 8 patients were mild, 19 were moderate, 22 were severe. There were 11 patients probably having anxiety, 25 having mild anxiety, 10 having moderate anxiety,2 having severe anxiety. Significant relations were found a- mong sex and depression, sex and anxiety, depression and extroversion, introversion, anxiety and extroversion, introver- sion, neuroticism, depression and self - accusation and recession of coping style, anxiety and retionalization of coping style, total score of social support and depression and anxiety. Conclusion The depressive and anxiety status of patients with spinal cord injury after trauma would be influenced by several factors including personality, coping style and social support.