社会心理因素对冠心病的影响

Influence of psychosocial factors on patients with coronary heart disease

目的研究社会心理因素对冠心病发生、发展的影响。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48例冠心病患者(观察组)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;选取50例健康对照组作相同测定。结果观察组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、抑郁及焦虑分值均高于对照组,差异有统计学意义(P<0.05);积极应付评分、社会支持总分低于对照组,差异有统计学意义(P<0.05)。结论冠心病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 influence of psychosocial factors on the patients with coronary heart disease. Methods The life events scales （ LES）, type ＂ A＂ behavior questionnaire （ TABPQ ）, toronto alexithymia scale （ TAS）, self-rating depression scale （ SDS ）, self-rating anxiety scale （ SAS ）, coping style questionnaire （ CSQ ）, social support scale （SSRS） were taken for evaluation the life events, personality characteristics, coping style, social support before i11, and the physical and psychological condition after ill in 48 patients with coronary heart disease. 50 healthy person as control group for the same measurement. Results The frequency of life events and value of tension, score of TABPQ, score of negative coping style, scores of both the SDS and SAS were significantly higher in observation group than thoes in control group（ P 〈 0.05 ）. The scores of active coping style and social support were significantly lower in observation group than thoes in control group （P 〈 0.05 ）. Conclusion In patients with coronary heart disease have special psycho-social characteristics and mental and physical health status. We should take the psychosocial interventions for the patients.