摘要
目的:分析接受物理治疗的颈椎病康复患者的心理健康状况和人格特征。方法:颈椎病组为2005-02/12解放军第四军医大学西京医院康复理疗科经治的颈椎病患者60例。健康对照组为愿意接受调查的患者家属60例,按年龄、性别、文化程度、婚姻状况和职业与病例组进行1∶1配比设计。颈椎病患者物理治疗采用制动、颈椎牵引、推拿疗法、物理治疗、关节松动术、运动疗法和必要的药物治疗。在接受治疗后1周内采用吴文源修订的症状自评量表和龚耀先修订的艾森克人格问卷,进行心理健康水平和人格特征检测、评定。症状自评量表包含10个因子90个记录项目,采用5级评分法,分值越高越严重。艾森克人格问卷包含神经质、内外倾、精神质、掩饰性4个维度。对数据进行U检验和pearson线性相关分析。结果:发放问卷120份,全部收回且合格,有效率100%。①颈椎病组患者症状自评量表总分、总均分、阳性症状项目数、阳性症状均分、躯体化、抑郁、人际敏感、焦虑、恐怖因子均高于对照组,差异有显著性意义(P<0.05)。②颈椎病组患者艾森克人格问卷中神经质分和精神质分与对照组比较差异有显著性意义(P<0.05),内外倾分和掩饰性与各自对照组相比,差异无显著性意义(P>0.05)。③神经质分与症状自评量表的所有因子都存在相关关系,内外倾分与抑郁、人际关系、焦虑、恐怖因子有负相关关系,精神质分与躯体化、抑郁、焦虑、人际关系等因子相关。结论:颈椎病患者存在躯体化、抑郁、焦虑、恐惧等多种心理障碍,人格特征多表现为神经质和精神质。人格特征(特别是神经质分)与心理健康水平相关。颈椎病康复理疗患者接受物理康复治疗的同时,也应采用适当的心理治疗。
AIM： To analyze the mental health status and personality characteristics of the rehabilitation patients with cervical spondylosis by physiotherapy. METHODS： There were totally 60 cases of cervical spondylosis who were treated at Department of Physiotherapy ＆ Rehabilitation, Xijing Hospital affiliated to the Fourth Military Medical University of Chinese PLA between February and December 2005 as cervical spondylosis group and 60 eases of patients＇ family member who accepted the investigation as healthy control group. According to age, sex, education level, marital status and profession those in the healthy control group were matched with cervical spondylosis group based on the proportion of one to one. The physical therapeutics included caging, cervical traction, manipulative treatment, physical therapy, joint mobilization, exercise therapy and necessary drug treatment in subjects with cervical spondylosis. Mental health status and peru sonality traits were evaluated with the Symptom Checklist （SCL-90） revised by Wu and the Eysenck Personality Questionnaire （EPQ） revised by Gong, respectively. SCL-90 contained 10 factors and 90 items, 5 grades evaluation, the higher the score, the severe the disease was. EPQ was composed of 4 dimensions： Neuroticism （N）, Extraversion （E）, Psychoticism （P）, and Social Desirability （L）. All the data were determined with U test and pearson linear correlation analysis. RESULTS： All the 120 questionnaires were withdrawn and qualified with the efficiency rate of 100%. ①The scores of total score, mean total score, number of positive symptom, mean score of positive symptom, somatization, depression, interpersonal relationship, anxiety, and phobia of SCL-90 were significantly higher in subjects with cervical spondylosis of cervical spondylosis group than those of persons of healthy control group. The difference was significant （P 〈 0.05）. ②Among the EPQ items, the N and P scores were significantly different between the patients of cervical spondylosis group and the persons of healthy control group （P 〈 0.05 ）. There were insignificant differences in scores of E and L as compared with their control group （P 〉 0.05）. ③There was a correlation between N and factors of SCL-90. E had negative correlation with depression, interpersonal relationship, anxiety, and phobia. P was associated with somatization, depression, anxiety and interpersonal relationship, etc.CONCLUSION： Patients with cervical spondylosis have different mental disorders such as somatization, depression, anxiety and phobia. They are of their own characteristics： neuroticism and psychoticism. Personality characteristics （especially neuroticism） are associated with psychological healthy level. Proper psychological evaluation is also necessary when the patients with cervical spondylosis received physical rehabilitative therapy.
出处
《中国临床康复》
CSCD
北大核心
2006年第22期7-9,共3页
Chinese Journal of Clinical Rehabilitation
基金
全军医药卫生科技基金资助项目(01L072)~~
