心理亚健康人群的中医体质辨识及情绪特征

Traditional Chinese medicine constitution identification and emotional characteristics among psychological sub-healthy people

目的分析心理亚健康人群流行病学特点及相关中医体质类型和情绪特征。方法本研究采取方便抽样,以门诊体检的亚健康人群为调查对象,利用《个人身心健康调查量表》进行问卷调查。利用Epidata3.0软件建立数据库,用SPSS18.0软件进行统计分析。结果心理亚健康主要集中在35岁及以下的年轻人群,所占比例较高达到74.10%,女性385例(63.00%),大专以上学历562例(92.40%),经济状况一般人群475例(78.60%)。心理亚健康人群在中医体质辨识分类上,偏颇体质384例(62.85%),明显高于躯体亚健康人群(P<0.05),且偏颇质以气虚质、阳虚质、气郁质为主。在情绪特征方面,心理亚健康人群主要表现为焦虑、抑郁、强迫和恐惧,该4项情绪问题与躯体亚健康人群比较差异均有统计学意义(P<0.05);而在敌对、偏执、人际关系敏感等情绪问题上,与躯体亚健康人群比较差异无统计学意义(P>0.05)。结论心理亚健康干预需要重点关注学历较高、经济一般的年轻女性发生的情绪问题,并注重中医对气虚质、阳虚质的调理。

Objective To analyze the epidemiological characteristics and related traditional Chinese medicine(TCM)constitution and emotional characteristics.Methods The convenient sampling method was adopted,and sub-healthy subjects receiving outpatient physical examinations served as the respondents.The Individual Physical and Moral Health Investigation Scale was used to conduct the questionnaire investigation.The Epidata3.0 software was used to build the database and SPSS18.0 was used to do statistical analysis.Results The psychological sub-health was mainly concentrated in young people below 35 years old,which accounted for 74.10%;385 cases(63.00%)were female;562 cases(92.40%)were the college degree or above.And the number of people with general economic status was 475(78.60%).In the TCM constitution classification of the mental sub-health population,384 cases(62.85%)of biased constitution were significantly higher than those of somatic sub-health(P<0.05).The biased constitution was dominated by qi-deficiency,yang-deficiency and qi-stagnation.In the aspect of emotional characteristics,the psychological sub-healthy population mainly manifested by anxiety,depression,compulsion and fear,the difference between these four emotional problems and somatic sub-health was statistically significant(P<0.05),but in the emotional problems of hostility,interpersonal sensitivity and paranoid,which had no statistically significant differences compared with somatic sub-healthy people(P>0.05).Conclusion The psychological healthy intervention needs to play emphasis on the emotional problems occurred in young females with higher educational background and general economic status and pay attention to regulate qi-deficiency and yang-deficiency by TCM.