30例颈椎病患者心理卫生状况调查与分析

Investigation and Analysis on the Mental Health Status of 30 Patients with Cervical Spondylosis

目的了解颈椎病患者心理卫生状况,为临床心理诊断及心理干预提供参考依据。方法采用症状自评量表(SCL-90)对30例慢性疼痛病人进行测试,并与正常人SCL-90常模进行比较。结果颈椎病患者心理健康状况低于常模,在SCL-90躯体化、人际敏感、焦虑、恐惧及精神病性等项因子分明显高于常模,且差异显著(P<0.01或0.05)。结论颈椎病患者总体心理健康状况较差,有的存在明显的心理障碍。因此,颈椎病患者的治疗过程中,应重视患者的心理问题,给予必要的心理咨询和心理治疗。

Objective To explore the mental health status of patients with cervical spondylosis so as to provide reference for clinical psychological diagnosis and psychological intervention. Methods A total of 30 patients with chronic pain at a pain clinic were tested by using Symptom Check List （SCL-90） and compared with normal population. Results The mental health status of patients with cervical spondylosis was worse than that of normal subjects. The scores of somatization, interpersonal sensitivity, anxiety, fear and psychotic factors were obvious higher than those in normal Subjects and showed significant difference（P〈0.01 or 0. 05）. Conclusion The patients with cervical spondylosis are generally weak in terms of mental health status and even meet psychological obstacles, therefore, in the course of treating patients with cervical spondylosis, a priority should he given to providing necessary psychological consultation and psychotherapy.