脑卒中患者与正常人个性特征、生活事件和负性情绪的对照研究

A comparetive study of personality characteristic,life events and negative emotion between cerebral stroke patients and normal persons

目的:探寻个性特征、生活事件和负性情绪与脑卒中的病因学联系。方法:对116例脑卒中患者和115例正常人应用MMSE、EPQ、LES、SSRS、HAMD、HAMA等量表和一般情况调查表进行对照调查。结果:与正常组对照,在个性特征方面脑卒中组有更高的E分、N分,有更多的外倾行为和情绪不稳定性格(P<0.01);脑卒中组负性生活事件分更高(P<0.01),社会支持度更低(P<0.01);负性情绪方面脑卒中组在焦虑/躯体化、认知障碍、阻滞、绝望、睡眠障碍和焦虑、抑郁总分均明显高于对照组(P<0.01)。结论:有缺陷的个性特征、负性生活事件多发、缺乏亲人和社会支持及负性情绪可能是脑卒中发生、发展的危险因素。

Objective：To study etiological relation of personality characteristic,life style and negative emotion with cerebral stroke.Methods：116 cerebral stroke patients and 115 normal persons were investigated with MMSE、EPQ、LES,SSRS,HAMD,HAMA and generally investigated tables.Results：Compared with normal group,cerebral stroke patients got higher scores in cerebral stroke group had higher scores in E,N score,more extraversion behavior and emotionally unstable personality（P0.01）;cerebral stroke patients got higher scores in negative life events（P0.01）,lower scores in social supports（P0.01）;stroke group had clearly higher scores in somatization disorder of anxiety and depression,cognitive disorder,retardation,desperation,sleeping disorder,sum scores of anxiety and depression（P0.01）.Conclusion：Unhealthy personality characteristics,more much negative life events,laking relatives and social supports,negative emotion may be rish factors of cerebral stroke and make patients condition worsening.