摘要
影响健康的社会心理因素很复杂,除性格外,尚有生活事件,常使人处于应激状态,导致精神和躯体疾惠,对远期心理创伤和近期生活事件与冠心病的关系,国内尚未见有报导,作者以高等院校的高级知识分子为对象,用1∶1病例对照配对方法,对此问题作了探索性研究。从生活事件发生的频率和感受强度来看,冠心组均非常显著地高于对照组,(P<0.01)按其频次和强度大小,依次排序,列出前15位的生活事件,其中最主要的是:1) 任务负担过重和工作不顺利;2) 受政治冲击或蒙冤受屈;3) 本人或伴侣身体不好;4) 子女管教、就业困难或婚恋受挫;5) 与领导关系紧张等。资料反映了我国中老年知识分子在特定的历史条件下所遗留的问题,以及可能由此而造成心身损害,为改善知识分子健康、工作和生活条件以及政治待遇等,提供了较具体的信息。但本文结果未发现远期事件与冠心病发病关系。
1:1 case control matched studies were made to observe the association between CHD and remote life events as well as recenr events. Both the frequency of usual life events and their affected intensifying values of the CHD group were significantly higher than those of the control group (P0.01). By the increasing order of frequency and intensifying values, the life events of the first fifteen positions were listed. The most important events were: (1) Heavy responsibilities and working against difficulties; (2) Health problems of their families as well as themselves; (3) Pplitical situatian, stress or persecutions; (4) Troubles concerning the education of their sons and daughters or the young meeting setbacks in job, love and marriage; (5) Strained relationship with their higher authorities. Yet there were more positive events in the control group than in the CHD. As to remote events, they were found of no relation with CHD. The influence of life events on health is rather complicated. The mediating factors play an important role which should be investigated further. The above mentioned esults provided concretc information for improving the level of the senior intellectuals' health, living and working conditions, political treatment as well as for psychological consultation with a definite purpose.
出处
《暨南大学学报（自然科学与医学版）》
CAS
CSCD
1989年第2期48-53,共6页
Journal of Jinan University(Natural Science & Medicine Edition)
关键词
冠心病
生活事件
心理因素
Psychosocial factors, Coronary heart disease, Life events, Case-control study
