摘要
目的探讨神经症患者的生活质量及其影响因素。方法用生活质量综合评定问卷比较100例神经症患者和100名健康人的生活质量差异。以自编调查表项目、社会支持量表、匹兹堡睡眠质量指数、症状自评量表评分为自变量，以生活质量综合问卷评分为因变量，进行相关分析和多元线性回归分析。结果除物质生活维度外，与健康对照组比较，神经症患者的生活质量综合问卷总分和各维度分都明显下降（P〈0．01）。相关分析结果显示，神经症患者的经济收入、社会支持量表总分与生活质量问卷总分呈显著正相关（P〈0．01）；病程、共病、睡眠质量指数及躯体化、强迫症状、抑郁、焦虑、恐惧因子分与生活质量问卷总分呈显著负相关（P〈0．01）．多元线性回归分析结果显示，生活质量问卷中的4个维度（因变量）与经济收入、社会支持量表总分、病程、共病、睡眠质量指数及躯体化、强迫症状、抑郁、焦虑、恐惧因子分10个自变量整体都具显著线性相关（P〈0．01）。结论神经症患者的生活质量较正常人差，生活质量各维度有27．4％～57．2％由经济收入、社会支持量表总分、病程、共病、睡眠质量指数及躯体化、强迫症状、抑郁、焦虑、恐惧因子分10个因素变化所决定。
Objective To explore the quality of llfe and its associated factors in neurosis patients. Methods A total of 100 neurosis patients and 100 healthy persons were tested by Generic Quality Of Life Inventory-74（GQOLI-74）,self- editing questionaire items,Social Support Rating Scale（SSRS）,Pittsburgh Sleep Quality Index（PSQI） and SCL-90. Results The total score of GQOLI-74 and all of the other dimensionalities of quality of life in neurosis patients except for the material-life dimensionality were significantly lower than those of healthy control group. The results of correlated analysis showed that the total score of GQOLI-74 of neurosis patients was significantly positively related with their eco nomic incomings, total score of SSRS（P〈0.01） ,while it was significantly negatively related with course of disease, commorbidlty,sleep quality index and factor scores of somatization, obsessive-compulsive symptoms, depression, anxiety, phobia （P〈0. 01）. The results of multivariate linear regression anylysis showed that the scores of the four dimensionalities of GQOLI-74 were significantly linear related with economic incomings, total score of SSRS, course of disease, comorbidity,sleep quality index and factor scores of somatization, obsessive-compulsive symptoms, depression, anxiety, phobia（P〈0.01）. Conclusion The quality of life in neurosis patients is lower than that of normal healthy persons. The dimensionalities could he affected with economic incomings, total score of SSRS, course of disease, comorbidity, sleep quality index and factor scores of somatization, obsessive-compulslve symptoms, depression, anxiety and phobia.
出处
《精神医学杂志》
2008年第1期24-26,共3页
Journal of Psychiatry
基金
山东省德州市科技局基金课题
成果鉴定编号:2007第50号
关键词
神经症
生活质量
影响因素
Neurosis Quality of life Associated factor
