摘要
目的探讨躯体化障碍与以躯体症状为主诉的抑郁症患者个性、躯体主诉、生活质量差异。方法对30例躯体化障碍和30例以躯体症状为主诉的抑郁症患者分别采用自编躯体症状主诉频数表,艾森克人格问卷(EPQ)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、健康状况调查问卷(SF-36)等进行评定,对影响生活质量的某些因素进行多元回归分析。结果两组躯体主诉无显著性差异(P>0.05);躯体化障碍组E分显著低于抑郁症组,N分显著高于抑郁症组(P<0.05);两组HAMD总分无差异(P>0.05),躯体化障碍组焦虑/躯体化及认知障碍因子分显著高于抑郁症(P<0.05),躯体化障碍的HAMA总分及躯体性焦虑分显著高于抑郁症组(P<0.05);躯体化障碍组生理机能、生理职能、躯体疼痛分量表评分均显著低于抑郁症组(P<0.05);多元回归分析结果,影响两组患者生活质量的主要因素依次为HAMD总分、HAMA总分、EPQ精神质因子、病程。结论躯体化障碍与以躯体症状为主诉的抑郁症患者在个性、HAMA总分、躯体焦虑因子分、生活质量方面有差异,两者的个性、疾病严重程度、病程为影响生活质量的重要因素。
Objective To explore the differences between the personalities, physical complaints and life quality in patients with somatization disorders and depression presented with somatic complaints. Methods 30 patients with somatization disorders and 30 patients with depression presented with somatic complaints were studied and compared by self - edited physical complaints scale, Eysenck Personality Questionaire （EPQ）, Hamilton Depression Scale（HAMD） , Hamilton Anxiety Scale（ HAMA）, Short - Form - 36 Health Survey （ SF - 36 ）, T - check and multiple regression analysis were used to analyze the data. Results There were no differences in physical complaints between the two groups （ P 〉 0.05 ）. E score was lower and N score was higher in patients with somatization disorder than that in dcpression（P 〈0. 05）. There were no differcnces in the scores of HAMD（ P 〉 0. 05 ）. The factor scores of anxiety/somatization and cognitive impairment were higher in patients with somatization disorder（ P 〈 0. 05 ）. The total score of HAMA and the score of somatic anxiety were also higher in them （ P 〈 0. 05 ）. The scores of physical function , role - physical and social functioning were lower in patients with somatization disorder（ P 〈 0. 05）. Analysis of multiple regressions showed the main factors influencing patient＇ s QOL were the total scores of HAMD and HAMA, psyche nature factor of EPQ, duration of the disease. Conclusion There were differenccs in personalities,total score of HAMA,factor score of physical anxiety and life quality in patients with somatczation disorders and depression presented with somatic complaints. Personalities, severity and duration of diseases were important influnential factors of quality of life.
出处
《四川精神卫生》
2009年第2期72-74,共3页
Sichuan Mental Health
关键词
躯体化障碍
抑郁症
个性
躯体主诉
生活质量
Somatization disorder Depression Personality Physical complaints Quality of life
