D型人格对住院冠心病患者焦虑抑郁情绪及生活质量的影响

Effects of type D personality on anxiety, depression and quality of life of hospitalized patients with coronary heart disease

目的探讨住院冠心病患者D型人格与焦虑、抑郁情绪的相关性及其对生活质量的影响。方法296例住院冠心病患者，应用一般情况调查问卷、D型人格量表（TypeDPersonalityScale，DS14）、焦虑自评量表（SAS）、抑郁自评量表（SDS）、简明36项健康问卷（SF-36）进行测评。结果冠心病患者中D型人格占37．2％，冠心病D型人格组焦虑、抑郁检出率（分别为33．6％，49．1％）高于非D型人格组（分别为14．0％，23．1％，P〈0．01）；D型人格组的生理职能（RP）、躯体疼痛（BP）、总体健康（GH）、活力（VT）、社会功能（SF）、情感职能（RE）、心理健康（MH）得分[分别为（32．73±42．52）分、（57．68±26．93）分、（42．14±18．23）分、（47．15±22．60）分、（59．43±26．67）分、（45．91±46．22）分、（49．25±22．21）分]均低于非D型人格组[分别为（56．00±46．61）分、（64．62±22．27）分、（48．27±19．19）分、（61．56±20．17）分、（69．70±24．35）分、（70．79±44．53）分、（70．52±18．91）分]，差异具有统计学意义（P〈0．05或0．01）；多元逐步回归分析显示，抑郁、D型人格、焦虑、血管狭窄程度和文化程度进入生活质量回归方程（口值分别为-16．31、-6．53、-7．69、-15．75、2．94，P〈0．05）。结论D型人格与住院冠心病患者焦虑、抑郁情绪障碍具有相关性，D型人格影响住院冠心病患者的生活质量。

Objective To explore the relationship between type D personality, anxiety and depression of coronary heart disease（CHD） and the effects on quality of life （QOL）. Methods 296 CHD patients were ran- domly chosen to answer the questionnaires of general situation ,type D personality scale （DS14） , Self-rating Anxie- ty Scale （SAS） , Self-rating Depression Scale （SDS） and Short-Form Health Survey （SF-36）. Results Of all subjects 37.2% were identified as type D personality ,detection rates of anxiety and depression was were higher than the patients with non-type D personality （33.6% vs 14.0% ,49. 1% vs 23. 1% , separately） （P 〈 0.01 ）. The scores of role-physical （ RP ）, bodily pain （ BP ）, general health （ GH ）, vitality （ VT ）, social functioning （ SF）, role -emotional（RE） ,mental health（MH） in patients with type D personality （（ 32.73 ± 42.52）, （57.68 ± 26.93 ）, （42.14 ±18.23 ）, （47.15 ±22.60 ）, （ 59.43 ± 26.67 ）, （45.91 ±46.22 ）, （ 49.25 ± 22.21 ）, separately） were lower than the patients with non-type D personality （ （ 56.00± 46.61 ）, （ 64.62± 22.27 ）, （ 48.27± 19.19 ）, （61.56± 20. 17）, （69. 70 ± 24.35 ）, （70. 79 ±44.53 ）, （70.52 ± 18.91 ）, separately） （P 〈 0.05 or 0.01 ）. Multi- ple stepwise regression analysis showed that depression, type D personality, anxiety, coronary artery stenosis degree and degree of education were entered QOL regression equation（ β = - 16.31, - 6.53, - 7.69, - 15.75,2.64, P 〈 0.05 ）. Conclusion The type D personality of CHD exist high prevalence of anxiety and depression disorders, and the type D personality influence the QOL of patients with CHD.