摘要
目的探讨脑卒中偏瘫患者的人格特质,分析其人格特质影响的相关因素。方法采用A型人格问卷、D型人格量表、抑郁自评量表、焦虑自评量表和乐观量表对77例脑卒中偏瘫患者于入院后第2天进行调查,以58例正常人作为对照。结果脑卒中患者组A型人格和D型人格比例、TAS-C总分、时间紧迫感、敌意竞争性与DS14总分、消极情感和社交抑制均显著高于对照组(P<0.01)。A型人格、D型人格及消极情感、社交抑制都是脑卒中发病的危险因素(P<0.01)。时间紧迫感、敌意竞争性、消极情感与焦虑及消极情感、社交抑制与抑郁均呈正相关(P<0.05,P<0.01),消极情感、社交抑制与乐观度呈负相关(P<0.05,P<0.01)。回归分析表明:消极情感与焦虑、抑郁相关,时间紧迫感与焦虑相关,社交抑制与乐观度相关(P<0.01)。结论 D型人格是脑卒中发病的危险因素,并且与焦虑、抑郁情绪密切相关。
Objective To investigate the distribution of type A personality and type D personality in patients with hemi- plegic stroke in the rehabilitation phase, and the influence factors of the two kinds of personalities in stroke. Methods 77 patients were investigated with the Type A Scale-Chinese（TAS-C） , Type D Scale-14（ DS14）, Self-Rating Depression Scale（ SDS）, Self-Rating Anxiety Scale（SAS） and Life Orientation Test-Revised（LOT-R） on the second day of admission to judge the personality and mood states of the patients. The correlation was analyzed. 58 healthy individuals were used as the control. Results The detection rates of type A personality were 70.1% in the study group and 24. 1% in the control group, while the detection rates of type D personality were 67.5% in the study group and 25.9% in the control group,and the D＆A were 44.2% in the study group and 8.6% in the control group （ all P 〈 0.01 ）. The scores of the study group were significantly higher compared with the control group in Type A score, TH, CH and Type D score, NA, SI （ all P 〈 0.01 ）. The regression analysis showed that type A personality, type D personality and NA, SI were risk factors of the stroke（ all P 〈0.01 ）. TH,CH and NA were positively correlated with SAS total scores（ r =0. 25-0. 34 ; all P 〈 0.05 ）. NA and SI were negatively correlated with the scores LOT-R （ all P 〈 0.05 ）, and positively correlated with SDS total scores（ all P 〈0.05 ）. The score of NA had significant correlation with depression and anxiety （P 〈 0.01 ）. The scores of TH were correlated with the optimism（ P 〈 0.05 ）. The scores of SI were correlated with SAS total scores （ P 〈 0.01 ）. Conclusion Type D personality is closed to the hemiplegic stroke, and could incur an increased risk of anxiety and depression.
出处
《山东大学学报（医学版）》
CAS
北大核心
2013年第2期104-107,112,共5页
Journal of Shandong University:Health Sciences
关键词
脑卒中
偏瘫
A型人格
D型人格
康复期
Stroke
Hemiplegia
Type A Scale-Chinese
Type D personality
Rehabilitation period
