应付方式和人格特征对酒精所致精神障碍患者生活质量的影响

Effect of coping styles and personality characteristics on the quality of life in patients with mental disorder due to use of alcohol

目的:探讨应付方式和人格特征对酒精所致精神障碍患者生活质量的影响。方法:运用应付方式(CSQ)、艾森克人格问卷(EPQ)和生活质量综合评定问卷(GQOLI-74)对55例酒精所致精神障碍患者(研究组)和43名无酗酒史的当地市民(对照组)进行问卷调查及统计分析。结果:①研究组应付方式是以自责、幻想和退避为特点,个性是以精神质为特征;②研究组GQOLI-74各维度和总分除物质生活外均显著低于对照组,两组间差异有统计学意义(P<0.01)。③研究组GQOLI-74总分与解决问题、求助、内外向、掩饰程度呈正相关,但仅求助具有统计学意义(P<0.01);GQOLI-74总分与呈负相关的因子中,仅合理化、退避、精神质具有统计学意义(P<0.05或P<0.01)。结论:酒精所致精神障碍患者的生活质量受其自身的心理特征影响,根据其心理特征给予相应的心理治疗,有助于提高酒精所致精神障碍患者的生活质量。

Objective： To investigate effects of the coping styles and personality characteristics on the quality of life in patients with mental disorder due to use of alcohol.Methods： 55 cases of patients with mental disorder due to use of alcohol （study group） and 43 cases of local citizens without a history of alcohol abuse （control group） were surveyed with coping styles questionnaire （CSQ） and Eysenck personality questionnaire （EPQ） and the Generic Quality of life Inventory-74 （GQOLI-74）,were the relevant factors analyzed. Results：（1）The coping styles in study group were self-accusation,mirage and retreat. The personality characteristic of study group was psychoticism. （2）The total score and the scores of all dimensions except material life in GQOLI-74 in study group were significantly lower than that of the control group ,the difference between the two groups was statistically significant （P〈0.01）. （3）It was revealed that the study group GQOLI-74 total score and solving difficulties, assistance, introvision- extrovision and lying were positive correlation, but only assistance was relevant statistical significance （P 〈0.01）.In the GQOLI-74 total score and negative correlated factors ,only the rationalization,retreat, spiritual quality were relevant statistical significance （P〈0.05 or P 〈0.01）.Conclusion：The quality of life in patients with mental disorder due to use of alcohol was affected by their own psychological characteristics.To give the corresponding psychological treatment according to their psychological characteristics can help the patients with chronic alcoholism to improve their quality of life.