A型、D型人格与冠心病的相关性研究

The correlation study about type A and type D personality with coronary heart disease

目的 探讨A型人格与D型人格对冠心病的影响,以及两种人格因素的不同心理特质与冠心病多种危险因素的相互影响.方法 应用一般状况调查表、A型行为类型问卷（TABPQ）与D型人格量表（Type D Personality Scale,DS14）,随机抽取123名冠心病患者与116名健康人做正常对照,同时测定所有研究对象的空腹血糖（GLU）、总胆固醇（TC）、甘油三酯（TG）、高密度脂蛋白（HDL）、低密度脂蛋白（LDL）、极低密度脂蛋白（VLDL）.结果 （1）病例组123人中A型人格检率为66.7%,明显高于对照组的40.5%,D型人格检出率为39.8%,同样高于对照组的22.4%（P＜0.05）.（2）两组间TABPQ总分值（TH＋CH）及TH、CH与NA、SI各分值之间差异有显著性（P＜0.05）,（3）性别、高血压病史、HDL、LDL、GLU以及心理特质NA与冠心病相关（P＜0.05）.结论 负性情感对冠心病的发生发展起重要作用.

Objectives To explore the effect of type A personality and type D personality on coronary heart disease （CHD） ,and the influence of the two kinds of personality factors with the risk factors of CHD. Methods 123 CHD patients and 116 healthy subjects were randomly chosen to answer the questionnaire of general situation and type A behavior questionnaire（TABQ） and type D personality scale（DS14） and assay the fasting glucose （ GLU ）, total cholesterol （ TC ） and triglycerides （ TG）, high-density lipoprotein （HDL） and low-density lipoprotein （LDL） ,very low density lipoprotein （VLDL）. Results （ 1 ）The detection rate of type A personality were respectively 66.7% in CHD group and 40.5% in control group,while type D personality were respectively 39.8% in CHD group and 22.4% in control group （P 〈 0. 05 ）. （ 2 ） There were significant differences in total TABPQ,TH, CH , SI, NA scores between the two groups（P〈 0.05 ）. （3）Coronary heart disease had correlated with gender,history of hypertension, HDL, LDL, GLU and negative affectivity. Conclusion Negative affectivity plays an important role in CHD.