摘要
目的探讨稽留流产妇女的情绪障碍发生情况及其与应对方式之间的关系。方法采用宗氏抑郁自评量表(SDS)和焦虑自评量表(SAS)、症状自评量表(SCL-90)和应对方式问卷,对80名稽留流产妇女(流产组)和80名健康早孕妇女(早孕组)进行测试。结果(1)流产组合并抑郁/焦虑障碍者53例,占66.25%。稽留流产合并情绪障碍患者SDS和SAS标准分分别高于健康早孕妇女和常模,差异均有统计学意义(P<0.01)。不同年龄的稽留流产患者,其SDS和SAS标准分相似,差异无统计学意义(P>0.05);(2)SCL-90测量结果,流产组的总分、总分均值、阳性项目数、阳性项目均分均明显高于早孕组和常模,差异有统计学意义(P<0.05);6项因子(包括躯体化、人际关系敏感、抑郁、强迫、焦虑和恐怖)的得分均明显高于早孕组及常模,差异有统计学意义(P<0.05);3项因子(包括敌对、偏执和精神病性)的得分与早孕组和常模相似,差异无统计学意义(P>0.05);(3)应对方式问卷中,稽留流产患者的自责和幻想等因子的评分明显高于早孕组,而解决问题的因子评分低于早孕组,差异有统计学意义(P<0.05);而两组的求助、逃避和合理化这3项因子评分相似,差异无统计学意义(P>0.05)。结论发生稽留流产时,妇女的心理状况有变化,在治疗同时应注重情绪调节和心理教育,提高她们的健康水平。
Objective To analyze the relationship of emotional disorder and coping style on the patients of missed miscarriage. Methods Eighty cases of missed miscarriage were tested with SDS,SAS,SCL-90 and Coping Style Questionnaire. Eighty cases of normal early pregnancy were used as control. Results （1） SDS and SAS values in patients of missed miscarriage with emotional disorder were higher than those of normal early pregnancy and normal person significantly （P〈0.01）. SDS and SAS values in those patients with different ages were similar （P〉0.05）. （2）In SCL-90, women of missed miscarriage had high scores on total value, total average value, positive numbers, and average value of positive number than normal early pregnancy and normal person significantly （P〈 0.01）. Women of missed miscarriage had high scores on scales of somatization, interpersonal sensitivity, depression, obsessive-compulsive, anxiety and terror than normal early pregnancy and normal person significantly （P〈 0.01）. （3） In Coping Style Questionnaire, women of missed miscarriage had higher scores on self-blaming and fantasy and lower scores on solving problem than normal early pregnancy significantly （P〈0.05）. Conclusion Women having missed miscarriage had special emotional mood. The incidence of depression and anxiety increases. The coping style is different with normal pregnancy. Therapy must focus on psychological and biological methods simultaneously.
出处
《重庆医学》
CAS
CSCD
北大核心
2009年第6期643-645,共3页
Chongqing medicine
关键词
稽留流产
情绪障碍
应对方式
心理
missed miscarriage
emotional disorder
coping style
psychology
