宁夏农村癫痫患者心理健康与社会功能调查

An Investigation of Epileptics' Mental Health and Social Function in Rural Areas of Ningxia

目的了解我区农村癫痫患者的心理健康和社会功能状况,为进一步心理干预提供依据。方法采用90项症状自评量表(symptom checklist 90,SCL-90)和社会功能缺陷筛选量表(social disability screening sched-ule,SDSS)对656例癫痫患者和当地的728例正常人进行问卷调查。结果农村癫痫患者SCL-90各因子分与正常对照组比较,9个因子分的差异均有统计学意义;山区患者的躯体化、偏执高于川区;男、女患者之间有7个因子分比较差异有统计学意义;汉族患者的强迫、抑郁、焦虑因子高于回族;回族患者的敌对、偏执因子高于汉族。农村癫痫患者SDSS与正常对照组比较,8项差异有统计学意义;山区患者的职业与工作、社会性退缩、家庭外社会活动、对外界兴趣和关心均差;男、女癫痫患者的社会功能差异均有统计学意义;回族与汉族癫痫患者之间有4项差异有统计学意义。结论农村癫痫患者的心理健康状况和社会功能较差,不同性别和不同民族的患者群体有不同的特点。

Objective To explore mental health and social function of epileptics in rural areas of Ningxia and to provide bases for the next psychological intervention.Methods 656 cases with epileptics and 728 normal subjects were assessed with SCL-90 and SDSS.Results Each element score of SCL-90 of epileptics were higher than that of the normal subjects.Somatization,paranoid in patients from mountain areas were higher than that from plain regions;there was significant difference between male and female patients on seven scores of SCL-90;obsessive-compulsive symptoms,depression,anxiety of Han ethnicity were higher than that of Hui.Hostility and paranoid of Hui ethnicity were higher than that of Han.There was significant difference between epileptics and normal subjects on eight scores of SDSS;the work,social withdrawal,social activities outside the home,interest and concern to the outside world of mountain patients were poor;There was significant difference between male and female patients at each element score of SDSS,but only four elements were significant difference between Hui and Han ethnicity.Conclusion mental health and social functions of epileptics in rural Ningxia were rather poor and different groups show different characteristics.