急性闭角型青光眼患者心理、个性、行为特征调查分析

Investigation and analysis of the psychology,personality and behavior characteristics of the patients with acute angle-closure glaucoma

目的研究急性闭角型青光眼患者的心理、个性、行为特征,探讨心理因素对疾病防治的意义。方法运用SCL-90、A型行为问卷和艾森克个性问卷对116例急性闭角型青光眼患者、56例慢性闭角型青光眼患者、120白内障患者和正常对照组(50例)进行测试比较。结果 SCL-90评分中,急性闭角型青光眼患者抑郁和焦虑得分与其他3组差异具有统计学意义(P<0.05),其余7大症状因子和总分与慢性闭角型青光眼差异无统计学意义(P<0.05),但与白内障组和正常对照组的差异具有统计学意义(P<0.05)。急性闭角型青光眼患者在A型行为问卷测评中,其TH得分高于其他3组,差异有统计学意义(P<0.05),但CH得分与其他3组的差异无统计学意义,TH+CH得分与慢性闭角型青光眼患者的得分接近,差异无统计学意义(P>0.05),但却明显高于白内障患者和正常对照组(P<0.05)。艾森克个性问卷调查,急性闭角型青光眼患者和慢性闭角型青光眼患者,其精神质、内外向、神经质情绪和掩饰的得分差异均无统计学意义(P>0.05),但急性闭角型青光眼患者其内外向、神经质情绪与白内障患者和正常对照组对此,差异均具有统计学意义(P<0.05)。结论心理因素与急性闭角型青光眼有明确的关系,急性闭角型青光眼患者表现为A型性格,神经质倾向。

Objective To investigate the psychology,personality and behavior characteristics of the patients with acute angleclosure glaucoma,so as to explore the clinical significance of psychological factor in the prevention and treatment of the disease.Methods Measurement and analysis were made in 116 patients with acute angle-closure glaucoma,56 patients with chronic angle-closure glaucoma,120 patients with cataract and 50 normal subjects,with questionnaire survey by using SCL-90,A style behavior and Eysenck Personality Questionnaire（EPQ）. Results In SCL-90,the scores of depression and anxiety in the patients with acute angle-closure glaucoma were higher than those of the other 3 groups,with statistical significance（P〈0. 05）. There was no statistical significance in the scores of 7 symptoms（somatization,obsessive-compulsive,interpersonal sensitivity,hostility,phobic anxiety,paranoid ideation,psychoticism）,when compared with those of the patients with chronic angle-closure glaucoma. However,statistical significance could be noted,when compared with those of the cataract and normal subjects（P〈0. 05）. In the evaluation of questionnaire survey of Astyle behavior,the scores of TH in the patients with acute angle-closure glaucoma were significantly higher than those of the other 3 groups（P〈0. 05）. However,there was no statistical significance in the scores of CH,as compared with those of the other 3 groups.The scores of TH ＋ CH were closely identical to those of the patients with chronic angle-closure glaucoma,without statistical significance,but they were significantly higher than those of the cataract and normal subjects（P〈0. 05）. In EPQ questionnaire survey,no statistical significance could be seen in the scores of nervousness,introversion and extraversion,nervous emotion and masking,when comparisons were made between the patients with acute angle-closure glaucoma and chronic angle-closure glaucoma. However,there were significance differences in the scores of introversion and extraversion as well as nervousness in the patients with acute angle-closure glaucoma,as compared with those of the cataract patients and normal subjects,with statistical significance（P〈0. 05）. Conclusion Psychological factor seems to be obviously associated with the onset of acute angle-closure glaucoma. The patients with acute angle-closure glaucoma mainly display A-style personality and neurotic tendency.