52例肝豆状核变性患者的心理状况研究

Psychological assessment of 52 patients with hepatolenticular degeneration with SCL-90

目的研究不同性别、年龄、病程和居住地的肝豆状核变性(HLD)患者的心理状况。方法对52例住院的HLD患者应用症状自评量表(Scl-90)进行心理测评,对不同性别、病程、居住地的HLD患者的心理状况进行比较。结果不同性别患者Scl-90因子均分比较差异无显著性(P>0.05);不同病程患者恐怖因子均分比较差异有显著性(P<0.05),病程<7年患者的恐怖因子均分较高;居住县及县以下患者焦虑及强迫因子均分较高,与居住县以上患者比较差异有显著性(P<0.05)。结论对HLD患者进行排铜治疗的同时,应重视患者的心理健康问题,尤其是早期患者及居住在乡镇或县城的患者。

Objective To study the psychological conditions of patients with hepatolenticular degeneration （HLD） in different gender, age, duration and place of residence. Methods 52 patients with hepatolenticular degeneration were assessed with Symptom Checklist-90 （Scl-90） and the psychological distress of patients in different gender, disease duration and place of residence were compared. Results The course of disease and distress were correlated, and residence, anxiety and obsession were correlated, the correlation of gender and psychological state were not different significantly. Conclusion When the patients with HLD were treated with copper elimination therapy, attention to the psychological problems of the patients should be taken, particularly the patients in early stage of HLD and those living in villages, towns, and county seats.