酒精性肝炎患者酒依赖心理与社会支持系统、家庭环境的关系

Relationship of alcohol dependence with social support system and family environment in patients with alcoholic hepatitis

目的:探讨酒精性肝炎(AH)患者酒依赖心理与社会支持系统、家庭环境的关系,为酒精性肝炎患者的有效防治提供理论依据。方法:选取2020年3月-2021年2月某院诊治的142例AH患者为研究对象,依据患者是否有酒依赖症分为酒依赖组(符合酒依赖诊断标准,n=83)和无酒依赖组(正常饮酒且无固定饮酒模式,n=59),采用症状自评量表(SCL-90)评估两组患者心理状况,应用社会支持评定量表(SSRS)、家庭环境量表中文版(FES-CV)分别评估两组患者社会支持情况和家庭环境,采用Pearson参数分析AH患者酒依赖心理与社会支持系统、家庭环境的关系。结果:酒依赖组SCL-90量表中各项评分均较无酒依赖组显著高(t=6.145~18.753;P<0.001),差异有统计学意义。酒依赖组SSRS评分中主观支持评分、客观支持评分和社会支持利用度评分较无酒依赖组显著低(t=-16.705,-5.437,-9.806;P<0.01),差异有统计学意义。酒依赖组FES-CV量表中亲密度、情感表达、独立性等8项评分较无酒依赖组显著低(t=-13.678,-9.362,-2.297,-10.255,-3.016,-4.230,-2.070,-10.799;P<0.05)。Pearson参数相关性分析提示AH酒依赖患者SCL-90评分与SSRS评分、FES-CV评分均呈明显负相关(r=-0.587,-0.594;P<0.01)。结论:AH患者酒依赖心理状况并不乐观,多表现为人际敏感、偏执、敌对情绪等,而AH患者不良心理状况与社会支持系统、家庭环境存在明显负相关,临床上或可通过提高社会支持系统和家庭环境以有效防治AH患者酒依赖和不良心理状况的发生。

Objective:To explore the relationship of alcohol dependence with social support system and family environment in patients with alcoholic hepatitis(AH),so as to provide a theoretical basis for effective prevention and treatment of such patients.Methods:A total of 142patients with AH diagnosed and treated in the hospital between March 2020and February 2021were selected as study subjects.According to the presence or absence of alcohol dependence,they were divided into alcohol dependence group(in line with the diagnostic criteria of alcohol dependence,n=83)and non-alcohol dependence group(drinking normally and without fixed drinking pattern,n=59).The Symptom Checklist(SCL-90),Social Support Rating Scale(SSRS),and the Family Environment Scale-Chinese Version(FES-CV)were used to evaluate the psychological status,social support and family environment of the two groups.Pearson correlation analysis of alcohol dependence,social support system and family environment in patients with AH was performed.Results:The alcohol dependence group had significantly higher SCL-90scores than the non-alcohol dependence group((t=6.145~18753;P<0.001)).The scores for subjective support,objective support and utilization of social support in SSRS of the alcohol dependence group were significantly lower than those of the nonalcohol dependence group((t=-16.705,-5.437,-9.806;P<0.01)).The scores in FES-CV of the alcohol dependence group were significantly lower than those of the non-alcohol dependence group(t=-13.678,-9.362,-2.297,-10.255,-3.016,-4.230,-2.070,-10.799;P<0.05).Pearson correlation analysis indicated that the SCL-90scores were significantly negatively correlated with SSRS scores and FES-CV scores in AH patients with alcohol dependence(r=-0.587,-0.594;P<0.01).Conclusion:Alcohol dependence in patients with AH is not optimistic.Most of patients have interpersonal sensitivity,paranoia and hostile emotions,etc.The adverse psychological conditions of patients with AH are significantly negatively correlated with social support system and family environment.Clinically,the occurrence of alcohol dependence and adverse psychological conditions in patients with AH may be effectively prevented through improving social support system and family environment.