摘要
目的探讨酒精所致精神障碍患者的心理健康状况与应对方式的相关性。方法采用症状自评量表(SCL-90)和应对方式问卷(CSQ),对65例酒精所致精神障碍患者(研究组)与55例无酗酒史的健康人(对照组)进行问卷调查,并对其相关因素进行统计分析。结果与对照组相比,研究组的SCL-90躯体化、抑郁、焦虑、敌对及偏执评分差异均有统计学意义。两组CSQ评分比较,研究组的应对方式不成熟,以退避(t=9.18,P=0.000)、幻想(t=10.30,P=0.000)、自责(t=8.73,P=0.000)评分较对照组显著增高。相关分析发现,研究组躯体化(r=-0.370,P<0.05)、敌对(r=-0.386,P<0.001)、偏执(r=-0.196,P<0.05)与解决问题呈负相关,抑郁(r=0.298,P<0.05)、焦虑(r=0.298,P<0.05)、精神病性(r=0.314,P<0.001)与自责呈正相关,敌对(r=-0.413,P<0.001)与求助呈负相关,精神病性(r=0.516,P<0.001)与幻想呈正相关,强迫症状(r=0.532,P<0.001)、人际关系敏感(r=0.582,P<0.001)、恐惧(r=0.615,P<0.001)与退避呈正相关。结论酒精所致精神障碍患者的应对方式受其心理健康状况的影响。
Objective To explore the relationship between mental health status and coping style in patients with mental disorder due to use of alcohol. MethodsA total of 65 cases of chronic alcoholism （study group） and 55 cases of local citizens without a history of al- cohol abuse （ control group） were surveyed with CSQ and SCL - 90, the relevant factors were analyzed . Results Compared with the control group, there were satistically significant differences in SCL - 90 scores of somatization, depression, anxiety, hostile and paranoid in study group. Compared the CSQ score between two groups, the coping styles of study group were immature, with characteristic of higher scores in retreat （ t = 9. 18 ,P =0.000）, mirage（t = 10. 30,P =0. 000） and self-accusation（t =8.73 ,P =0.000）. In the study group, solve difficulty was negatively correlated with somatization （ r= -0. 370, P 〈 0.05 ） , hostile （ r = -0. 386, P 〈 0.001 ） and para- noid（ r = -0. 196, P 〈 0.05 ） . Self-accusation was positively correlated with depression（ r = 0. 298, P 〈 0.05） and anxiety（ r = 0. 298, P 〈 0.05 ） , psychotic （ r = 0. 314,P 〈 0. 001 ）, Assistance was negatively correlated with hostile （ r = -0.413, P 〈 0.001 ） ; Mirage was pos- itively correlated with psychotic （ r = 0. 516, P 〈 0.001 ） ; Retreat was positively correlated with forced symptoms （ r = 0. 532,P 〈 0.001 ） , sensitive interpersonal relationship（r = 0. 582,P 〈 0. 001 ） and fear（ r = 0. 615, P 〈 0. 001 ）. Conclusion Coping styles in patients with mental disorder due to use of alcohol is affected by mental health status.
出处
《中国健康心理学杂志》
2014年第1期5-7,共3页
China Journal of Health Psychology
