老年期痴呆患者亲属的心理健康状况

Mental health status of family members of patients with senile dementia

目的探讨老年期痴呆患者亲属的心理健康状况。方法应用症状自评量表(SCL-90)、社会支持评定量表(SSRS)、防御方式问卷(DSQ)评定了71例老年期痴呆患者亲属(研究组)并与80例健康人(对照组)进行比较。结果老年期痴呆亲属SCL-90总分(t=6.970,P<0.001)、躯体化(t=2.876,P=0.005)、抑郁(t=2.696,P=0.008)及焦虑(t=2.736,P=0.007)因子分高于对照组。防御方式以不成熟(t=7.394,P<0.001)及中间型防御方式(t=3.143,P=0.002)为主。多元逐步回归分析显示不成熟防御因子分、躯体疾病、对支持的利用度对SCL-90总分影响大。结论老年期痴呆患者亲属存在心理健康问题且与其不成熟防御方式、对支持的利用度低及患者躯体疾病有关。

Objective： To investigate mental health status of family members of patients with senile dementia. Methods ： Seventy - one family members of dementia patients （study group） and eighty healthy persons （control group） were interviewed and assessed with symptom checklist -90（SCL-90）, social support rating scale （SSRS） and defense style questionnaire（DSQ）. Results ： SCL - 90 total score （t= 6.970, P 〈 0.001） and factorial scores in somatization（t=2.876, P = 0.005）, depression （ t = 2.696, P = 0.008） and anxiety （ t = 2.736, P = 0.007） were significantly higher in study group than in control group. Predominant defense styles of family members of dementia patients were immature （t =7.394 ,P 〈0.001） and intermediate （t = 3.143, P = 0.002）. In multiple stepwise regression analysis, SCL - 90 total score was influenced to a large extent by immature defense style, physical diseases and utilization of social support. Conclusion： Mental health status of family members of patients with senile dementia is associated with immature defense style, physical diseases and insufficient utilization of social support.