摘要
目的 探讨肠易激综合症 (IrritableBowelSyndrom ,IBS)患者的心理健康状况、应付方式及相关因素。方法 对68例腹泻型IBS患者进行症状自评量表 (SCL -90)、EPQ(龚耀先修订艾森克成人个性问卷 )测查、应付方式问卷和一般情况调查分析。结果 68例IBS患者的SCL -90总均分与中国常模均分比较有显著统计学意义 ,总均分≥2.0分占77.95 % ,总均分≥3分占57.4% ,总均分异常人数 (≥1.8分 )占97.1 %。EPQ测试结果示男性IBS患者不稳定内倾型、女性IBS患者不稳定型外倾型的人数较多。应付方式以消极应付为主。多因素分析结果表明 ,与IBS明显相关的因素是性别 (女性 )、收入 (中等收入 )、一年内是否有精神应激事件、自感精神紧张等。结论 IBS患者的心理健康状况已经达到了十分严重的程度。其发生发展与社会心理因素、应付方式和个性密切相关。IBS的治疗要兼顾病人的生物和心理社会两个方面 ,加强心理治疗和精神药物治疗 。
Objective To investigate the status of mental health and the social mental factor,copying styles and the associated factors in patients of irritable bowel syndrome(IBS). Methods 68IBS patients with diarrhea was tested with Symptom checklist-90(SCI-90)and EPQ,copying styles questionnaire and general condition. Result The average scores of every factors of SCL-90were significant higher than the chinese norms,the average score≥2.0has77.95%,≥3.0has57.4%and≥1.8has97.1%.The result of EPQ test showed that the number of unstable-introverted men and unstable-extrovent women was superior to that of others,and their major are negative.The result of multiple factors analysis showed the factors that is associated with IBS was sex(woman),income(middling income);Stimulus events of spirit and self-feeling nervous per yes or not. Conclusion The status of mental health of IBS patients is very serious which let us worry;Its occurrence and development was associated with the social mental factors,coping styles and character,we must pay more attention to the treatment in social than in bioecology.
出处
《浙江临床医学》
2004年第10期847-848,共2页
Zhejiang Clinical Medical Journal
