摘要
目的 :探讨传染性非典型肺炎 (SARS)患者在病后 3 -6个月的心理状况。方法 :采用症状自评量表 (SCL -90 )、应付方式问卷 (CSQ)、社会支持评定量表 (SSS)对我院收治的 45名SARS患者 ,在出院 3 -6个月内进行上述问卷调查 ,以本院健康医护人员及常模作对照。结果 :患病组SCL -90中 5个因子分高于对照组及常模 :躯体化 (F =4 3 2 )、恐怖 (F =5 2 9)、强迫 (F =5 96)P <0 0 1,抑郁 (F =3 16)、焦虑 (F =3 79)P <0 0 5。患病组的客观支持、解决问题、幻想、合理化与对照组比较有显著差异 (P <0 0 5 )。患病组客观支持和支持利用与SCL -90各因子负相关 (r :-0 3 2～ -0 41,-0 3 6～ -0 3 8) ,解决问题与SCL -90各因子负相关 (r :-0 3 3～ 0 41) ,幻想、退避、合理化与SCL -90各因子正相关 (r :0 40～ 0 61,0 3 7～ 0 66,0 3 4～ 0 46)。结论 :SARS病人出院 3 -6个月内仍存在一定的心理问题 ,需得到必要的心理治疗。
Objective:To study mental status of recovered SARS patients.Method:45 former SARS patients were assessed with SCL-90, Coping Style Questionnaire and Social Support Scale 3-6 months after their discharge. 45 healthy medical staffs were assessed with same instruments as control.Result:The former patients had 5 subscores of SCL-90 with higher average scores than Chinese norm and results of control, they were somatization, anxiety, phobia, obsession and depression. The former patients felt more objective support, used more rationalization, but were less capable in problem solving. In former patients, problem-solving, objective social support and utility of the support were negatively correlated with subscores of SCL-90 (r=-0.32～-0.41,P<0.05); while immature coping, such as fantasy, withdrawal and rationalization were positively correlated with subscores of SCL-90 (r=0.34～0.66,P<0.05).Conclusions:Former SARS patients still have psychosomatic symptoms 3～6 months after discharge. The severity of the symptoms is associated with their coping style and objective social support.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2004年第2期129-131,共3页
Chinese Mental Health Journal
关键词
SARS
康复
心理状况
调查
非典型肺炎
流行病学
mental health SARS case-control studies SCL-90 social support coping style recovery
