功能性胃肠障碍患者的心理和社会因素研究

Psycho-social Factors Related to Functional Gastrointestinal Disorders

目的 探讨功能性胃肠障碍 (FGD)与心理社会因素的关系。方法 应用艾森克个性问卷 [EPQ]、心理应付方式问卷[CSQ]、生活事件量表 [LES]、社会支持评定量表 [SSRS]对 5 6例FGD患者进行心理社会因素调查。并与健康人对照比较分析。结果 FGD患者具有内向、神经质个性倾向者显著高于对照组 (P <0 0 5～ 0 0 1) ;应付防御方式多采用消极应付 (P <0 0 5 ) ;就诊前 ,年内遇到的生活事件 ,特别是负性生活事件显著高于对照组 (P <0 0 5 ) ;而社会支持却明显不足 (P <0 0 5 )。结论 FGD患者具有内向、神经质个性倾向和消极应付防御等心理人格上的易感因素 ,在生活事件 ,特别是负性生活事件和社会支持不足的外界社会因素作用下 ,促发了其心理—生理应激机制 。

Objective To investigate the psycho-social factors related to functional gastrointestinal disorders (FGD).Methods Using Eysenck personality questionnaire (EPQ), Coping styles questionnaire (CSQ), Life events scale (LES) and Social support rating scale (SSRS) to study psycho-social factors in FGD patients. The results were compared with normal controls.Results The number of FGD patients who possessed introversion and neurosis personality was significant higher than the controls (P<0 05～0 01), and more FGD patients applied passive coping style defence than that of the controls (P<0 05). In one year before consultation, compared with the controls, FGD patients met significantly more life events, especially negative life events (all P<0 05), and social support was obviously insufficient (P<0 05).Conclusions FGD patients have tendency of possessed introversion and neurosis personality and applying passive coping styles defense which are susceptible psycho-personality to FGD, together with life events, especially in negative life events and insufficient social support could induce their psycho-physiolocal stress which may be an important cause to FGD.