心理社会因素与系统性红斑狼疮患者心身症状的关系

Relationship between psycho social factors and psychosomatic symptoms in SLE patients

目的 研究心理社会因素对系统性红斑狼疮 (SL E)患者心身症状的影响 ,为临床上对 SL E患者进行心理社会干预提供理论依据。方法 使用 90项症状自评问卷 (SCL- 90 )、艾森克人格问卷 (EPQ)、医学应对方式问卷 (MCMQ)、领悟社会支持量表 (PSSS)对 6 6例 SL E患者作调查研究 ,并作相关性分析和多元回归分析。结果 (1)较多采用面对或屈服应对方式的 SL E患者其心身症状较重 ;(2 )获得较多社会支持的 SL E患者其心身症状较轻 ;(3) EPQ中的 N分较高或 E分、L 分较低的 SL E患者伴有较为严重的心身症状 ;(4 ) SL E患者的文化程度越高 ,其心身症状越轻 ;(5 ) EPQ中的 E分、社会支持和面对应对方式对 SL E患者的心身症状有更重要的影响。结论 临床上在对 SL E患者实施药物治疗的同时 ,应重视运用心理社会干预 。

Objective To study the relationship between psycho social factors and psychosomatic symptoms in SLE patients, to provide grounds of psycho social intervention in SLE patients Methods 66 SLE patients were assessed with Symptom Check List 90(SCL 90), Eysenck Personality Questionnaire(EPQ), Medical coping Modes Questionnaire(MCMQ) and Perceived Social Support Scale(PSSS) Data were analysed in a multiple correlation/regression analysis Results Firstly,in SLE patients, significant positive associations were found between psychosomatic symptoms and confrontation coping style, acceptance resignation coping style, N scores of EPQ Secondly, there were significant negative associations between psychosomatic symptoms and social support, E scores and L scores of EPQ, the education years Finally, the significant, independent predictors of psychosomatic symptoms were E scores of EPQ, social support and confrontation coping style Conclusions Findings indicate that the psycho social intervention should be emphasized in SLE patients to alleviate their psychosomatic symptoms