摘要
目的分析慢性疲劳的心理影响因素,为慢性疲劳预防策略的提出提供依据。方法采用Goldberg编制,一般健康问卷(GHQ-20)进行调查。数据录入采用Epidata3.0,经核对无误后转入SPSS11.5进行统计分析。主要应用χ2检验、t检验、非条件Logistic回归分析。结果太原市人群慢性疲劳人口学分布特征:排除有疾病患者121人,981人中非慢性疲劳(非CF)占77.1%(756人),慢性疲劳(CF)占22.9%(225人)。不同文化程度慢性疲劳患病率不同(χ2=13.550,P=0.009)。慢性疲劳与心理影响因素:单因素分析显示忧郁(t=2.939,P=0.004)、抑郁(t=3.434,P=0.001)是慢性疲劳的危险因素,自我肯定(t=-7.367,P=0.000)是慢性疲劳的保护因素。多因素分析表明,高文化程度(OR=1.508)是慢性疲劳的危险因素,自我肯定(OR=0.752)是慢性疲劳的保护因素。结论心理自我肯定水平与慢性疲劳的发生密切相关。
Objective To explore the psychological factors associated with chronic fatigue （CF） and to provide evidence for relevant prevention strategies. Methods The subjects were interviewed using the modified Goldberg general health questionnaire （GHQ-20） （Li Hong, et al. Institute of Educational Research, Tsinghua university）. The data were input using Epidata3.0 software, validated and then transferred to SPSS11.5 database for statistical analysis. X2-test, t-test and unmatched multiple Logistic rcgression were the main methods used in the study. Results （1） Demographic features of CF in Taiyuan residents： with chronic diseases excluded, 981 subjects were identified, comprising 756 （77.1%） of non-CF and 225 （22.9%） of CF. Prevalence of CF varied among subjects with different education back-ground （X2=13.550,P=0.009）; （2） Psychological factors associated with CF： X2-test and t-test showed that mental up-set （t=2.939, P=0.004） and depression （t=3.434, P=0.001） were risk factors for chronic fatigue, while self-affirmation was protective against CF （t=-7.367, P=0.000）. Unmatched multiple Logistic regression showed that higher degree of education （OR=1.508） was a risk factor and self-affirmation was protective （OR=0.752）. Conclusion Mental self-affirmation appeared closely associated with development of chronic fatigue.
出处
《中国药物与临床》
CAS
2007年第10期751-754,共4页
Chinese Remedies & Clinics
