乙型肝炎肝硬化患者焦虑敏感指数与功能失调性认知的相关性研究

Study on correlation between anxiety sensitivity index and attitudes to functional disorder in patients with hepatitis B cirrhosis

目的通过研究乙型肝炎肝硬化(HBC)患者焦虑敏感指数水平,探讨其与功能失调性态度的关系,为促进患者心理健康提供依据。方法 2014年5月—2015年2月选择襄阳地区HBC患者225例作为研究对象。采用焦虑敏感指数-3(ASI-3)评价患者焦虑敏感水平,用功能失调性状况评定量表(DAS)评价患者功能失调性态度。结果 ASI-3平均得分为(17.84±6.23)分,其中总分≥25分的有38人,占16.89%;不同年龄段HBC患者ASI-3得分差异有统计学意义(P<0.05);不同肝功能分级患者躯体关注维度得分、ASI-3总分的差异有统计学意义(P<0.05);HBC患者DAS总分为(121.79±16.40)分,存在认知歪曲的患者有66人,占29.33%;ASI-3总分与HBC患者脆弱性、吸引与排斥、强制性、依赖性、自主性态度维度和DAS总分呈正相关(P<0.05)。结论 HBC患者焦虑敏感指数与功能失调性认知存在一定的相关性,应制定合理的心理认知干预措施。

[Objective]To study the anxiety sensitivity index level in patients with hepatitis B cirrhosis（HBC）,explore its relationship with patients＇ attitudes to functional disorder,and provide the basis for improving the mental health of patients.[Methods]225 HBC patients in Xiangyang area were collected from May 2014 to February 2015.The anxiety sensitivity index-3（ASI-3） was used to evaluate the anxiety sensitivity level of patients,and the dysfunctional attitudes scale（DAS） was used to assess patients＇ attitudes to functional disorder.[Results]The average scores of ASI-3 were（17.84±6.23）,and 38 patients obtained the total scores more than 25,accounting for 16.89%.There was statistically significant difference in ASI-3 scores among different age groups（P〈0.05）.The differences in scores of body concern dimension and total scores of ASI-3 were statistically significant among patients with different grades of liver function（P〈0.05）.The total scores of DAS were（121.79±16.40）,and 66 patients had cognitive distortions,accounting for 29.33%.The total scores of ASI-3 were positively correlated with vulnerability dimension scores,attraction and repulsion dimension scores,compulsion dimension scores,dependency dimension scores,and total score of DAS（P〈0.05）.[Conclusion]There is the correlation between anxiety sensitivity index and attitudes to functional disorder in patients with HBC,and it is necessary to develop the reasonable psychological intervention measures.