酒依赖患者心理健康状况及应对方式分析

Analysis of metal health and coping style of alcohol dependence

目的：探讨酒依赖患者心理健康状况及其应对方式。方法：对2013年1月~2014年12月在青岛市精神卫生中心门诊及住院治疗的158例酒依赖患者采用症状自评量表（SCL-90）、焦虑自评量表（SAS）、抑郁自评量表（SDS）、简易应对方式问卷（SCSQ）和自编的基本情况调查问卷,对酒依赖患者进行心理健康状况评定及应对方式调查。结果：酒精所致精神障碍患者SCL-90总分、躯体化、人际敏感、抑郁、焦虑、恐怖与偏执、SDS得分（52.37±s10.65）、SAS（48.87±s6.59）得分均高于常模,差异有统计学意义;应对方式以消极为主,酒依赖患者消极应对分与SCL-90总分及躯体化、人际敏感、焦虑、抑郁及偏执因子分呈显著正相关。结论：酒依赖患者存在严重的焦虑、抑郁等心理问题,应对方式以消极为主,其心理健康水平可能与应对方式密切相关,应加强心理健康教育。

Objective： To investigate the mental health and coping style among alcohol dependence. Methods： Totally 158 alcohol dependence receiving treatment in in-patient andout-patient form Qingdao Mental Health Center were recruited form january 2013 to December 2014. The subjects were investigated by Self-reporting Inventory（ SCL-90）,Self-Rating Anxiety Scale（ SAS）,Self-Rating Depression Scale（ SDS）,Simplified Coping Style Questionnaire（ SCSQ） and self-made questionnaire. Results： The total scores ang the subscale scores of somatization,interpersonal sensitivity,depression,anxiety,terror and paranoid of SCL-90,score of SDS（ 52. 37 ±s10. 65）,and score of SAS（ 48. 87 ± s6. 59） among alcohol dependence were higher than normal population,and the difference was statistically significant; Their coping style were negative,Negative coping score of lcohol dependence was positively correlated with total score of SCL-90,somatization symptoms,interpersonal sensitivity,anxiety,depression,terror and paranoidforced factor. Conclusion：Anxiety and depression status of alcohol dependence were higher than normal population. Their coping style was negative. The mental health status may be closely associated with coping styles and we should strengthen psychological health education for alcohol dependence.