脑动脉硬化症患者的人格特征和心理卫生状况

Personality characteristics and psychological health of patients with cerebral arteriosclerosis

目的探讨脑动脉硬化症患者的人格特征和心理状况,为预防和治疗提供心理学基础。方法以无认知和精神障碍的脑动脉硬化症患者为研究对象,采用SCL-90和EPQ为心理学研究工具,SCL-90以国内常模为对照进行t检验。结果研究组SCL-90的S、Is、D、A、H、Pa明显高于对照组(P<0.01)。EPQ结果显示P分≥60者占38.1%,N分≥60者占40.2%;性格类型以抑郁质为多。表明患者人格改变者较多,心理卫生状况较差。结论脑动脉硬化症可以改变神经功能,引起人格改变和心理卫生状况不佳,临床上应引起高度重视,加强心理卫方面的教育和引导,以预防心脑血管疾病的发生和患者生活质量的下降。

Aim To explore the personality characte ristics and psycho-logical health of patients with cere bral arteriosclerosis in order to pr ovide a psychological basis of the prophyla xis and treatment of the disease.Methods The cerebral arteriosclerosis patients without cognition and mental di sorders were tested by the symptom checklist(SCL-90)and Eysenck Personality Questionnaire(EPQ),and the domestic norm as control in S CL-90.Results SCL-90scores of S,Is,D,A,H,Pa were significantly higher than that of control(P<0.01).N score(≥60)and P score(≥60)of the patientswere 38.1%and 40.2%respectively.T he results suggested that melan-cholic temperament and personality changes existed in the most pa-tients.There were bad psychological health conditions in the patients.Conclusion There are personality changes and bad psychological health conditions in the patients with cere bral arteriosclerosis.In order to p revent cerebrovascular accident and impro ve the quality of life of the patients,the education and guidance of psycholog ical health must be emphasized.