摘要
目的:对甲状腺功能亢进症(甲亢)病人的心身症状进行评价,探讨个性、应对方式、生活事件、社会支持对甲亢病人心身症状的交互影响。方法:2004年1至12月在我院甲亢治疗中心确诊为甲亢的100例18-59岁的成人患者,男23例,女77例,平均年龄34±11岁。采取无记名方式填写症状自评量表(SCL-90)、艾森克个性问卷(EPQ)、简易应对方式量表、生活事件量表、领悟社会支持量表,采用多重回归模型分析。结果:甲亢病人的心身症状SCL总均分为1.7±0.6,标准化多重回归方程为SCL总均分=-0.38×(积极应对×社会支持)+0.40×神经质N+0.17×FT3+0.13×(积极应对×负性事件)(调整过的R2=0.78)。结论:排除FT3混杂因素的影响,在影响甲亢病人心身症状的因素中,神经质是主要的危险因素,积极应对与社会支持存在交互作用,是一种保护因素,积极应对与负性事件存在交互作用,是一种危险因素。
Objective： To evaluate mental health status of hyperthyroid patients and explore influencing factors by multivariate analysis. Methods： We investigated the association between the mental health status and psychosocial factors in 100 patients （77 female and 23 male） diagnosed as hyperthyroidism, using a multiple regression model. Their mean age was 34 ±11. Under psychometric personnel＇s supervising, they were measured by means of questionnaires, including the SCL- 90, EPQ, simple coping style, life event scale and perceived social support scale. Results： The hyperthyroid patients＇total mean score of SCL -90 was 1.7 ±0. 6. The multiple regression equation revealed that the total mean scores of SCL - 90 = - 0. 38 × （ positive coping styles x social support ） ＋ 0.40 x nervousness ＋ 0. 17 × FT3 ＋ 0. 13 × （ positive coping styles x negative events） （ adjusted R2 = 0. 78 ） . Conclusion： Excluding the confounder FT3, nervousness is the main risk factor that may severely affect the mental health in hyperthyroidism. There are interactions between positive coping styles and social supports, which are protected factors, there are also interactions between positive coping styles and negative events, which are risk factors. Psychological factors are associated with the mental health in hyperthyroid patients.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2006年第12期820-823,共4页
Chinese Mental Health Journal
基金
广州市卫生局基金资助(2005-YB-142)
