慢性咽炎患者的心理障碍及相关因素分析

Psychiatric disorders in pharyngitis patients and its associated factor analysis

目的:初步探讨慢性咽炎患者的精神心理特点及分析相关因素。方法:将2012-12-2014-12期间四川省中西医结合医院收治的100例慢性咽炎患者的精神心理状态与中国常模进行对照研究,用症状自评量表(SCL-90)分析慢性咽炎患者的主观症状与精神心理障碍的特点及关系,以SPSS 19.0软件对数据进行统计学分析。结果:慢性咽炎患者心理有轻度损害者65例(65%),中度损害者14例(14%);患者的躯体化、强迫症状、人际关系敏感、焦虑和其他(睡眠、饮食)共5项因子高于中国常模,对病情有显著影响(均P<0.05);男性的强迫症状、焦虑评分高于女性(P<0.05);年龄更小者的躯体化和强迫症状评分更高(P<0.05);病程更长者的躯体化、人际关系敏感和焦虑评分更高(P<0.05);学历更低者的人际关系敏感评分更高(P<0.05)。结论:慢性咽炎患者有轻度和中度的心理健康损害;躯体化、强迫症状、人际关系敏感、焦虑和其他(睡眠、饮食)随病情的加重而严重;男性、年龄更小者、病程更长者、学历更低者是相对的高危人群。

Objective.. To investigate the characteristics of psychiatric comorbidity in pharyngitis patients. Method：The psychological investigation and evaluation were done in 100 pharyngitis patients by using self-repor- ting inventory 90 （SCL-90）. All the results were compared with healthy Chinese population, including factors of gender, age, course of disease and education level, using rank-sum test analysis, SPSS 19.0. Result.. Mild and moderate levels of psychosis were respectively noted in 65% and 14%, with high score of somatization （P〈 0.05）, obsession （P〈0.05）, interpersonal sensitivity （P〈0.05）, anxiety （P〈0.05） and other （sleep,diet,P〈 0.05） compared with control group. The factor scores of obsession （P〈〈0.05）, anxiety （P〈0.05） in male group were higher than female group. The factor scores of somatization （P〈0.05） and obsession （P〈0.05） in junior group were higher than senior group. The factor scores of somatization （P〈0.05）, interpersonal sensitivity （P〈 0.05） and anxiety （P%0.05） in long course group were higher than short course group. The factor score of inter- personal sensitivity （P〈0.05） in low educated group was higher than highly educated group. Conclusion：Psychi- atric disorders are prevalent in pharyngitis patients, especially upon the factors of somatization, obsession, inter- personal sensitivity, anxiety and other （sleep, diet）. Male, junior, long course patients and low educated are in high risk group.