摘要
目的 探究中医9种不同体质与心理健康程度间相关性,为丰富、发展体质学说提供依据。方法 运用中医体质量表和90项症状检核表(SCL-90)测评北京中医药大学招募的在校生体质和心理健康状况。首先采用Pearson相关分析法找出中医9种体质与SCL-90各项目的相关性;然后采用多元线性回归分析法,控制混杂因素(性别和年龄)的影响,构建SCL-90各项目分与中医9种体质的回归模型。结果 招募受试者共900名。Pearson相关分析结果表明,SCL-90各项目分数与平和质分数负相关,与8种偏颇体质分数正相关,相关性排在前3位的偏颇体质分别是气郁质(r=0.432~0.602,P<0.01)、气虚质(r=0.385~0.544,P<0.01)和血瘀质(r=0.326~0.505,P<0.01)。多元线性回归分析结果显示,气虚质、痰湿质、血瘀质、气郁质和特禀质分数是躯体化分数的危险因素(P<0.05);血瘀质和气郁质分数是强迫症状分数的危险因素(P<0.01),而平和质、阳虚质分数是其保护因素(P<0.01);湿热质和气郁质分数均为人际关系敏感和偏执分数的危险因素(P<0.01),而平和质、阳虚质分数均为人际关系敏感和偏执分数的保护因素(P<0.01);血瘀质和气郁质分数均为抑郁分数的危险因素(P<0.05),而平和质和阳虚质分数是其保护因素(P<0.05);气虚质、血瘀质和气郁质分数均是焦虑分数的危险因素(P<0.05),而平和质和阳虚质分数是其保护因素(P<0.05);气郁质分数是敌对分数的危险因素(P<0.01),阳虚质分数是其保护因素(P<0.01);气郁质分数是恐怖分数的危险因素(P<0.05),平和质分数是其保护因素(P<0.05);血瘀质和气郁质分数是精神病性分数的危险因素(P<0.01),平和质和阳虚质分数是其保护因素(P<0.05);气郁质分数是其他分数的危险因素(P<0.01),平和质和阳虚质分数是其保护因素(P<0.01)。男性为SCL-90各项目分数的危险因素,年龄为除躯体化和焦虑外8种SCL-90项目分数的保护因素。结论 SCL-90的心理健康程度与中医9种体质有一定的相关性,平和质是心理健康程度的保护因素,偏颇体质中的血瘀质和气郁质是心理健康程度的危险因素。
Objective To explore the correlation between TCM constitution types and mental health, so as to provide reference for the further enrichment and development of the TCM constitution theory.Methods Wang Qi’s Questionnaire of Nine Body Constitutions in TCM and Symptom Checklist 90(SCL-90) were used to evaluate the body constitution and mental health of college students from Beijing University of Chinese Medicine. The correlation between TCM constitution and SCL-90 items was explored with Pearson correlation analysis. Then the correlation between the 9 types of constitution and SCL-90 item scores was analyzed with multiple linear regression analysis with the confounding factors(age and sex) controlled.Results A total of 900 subjects were recruited. The result of Pearson correlation analysis showed that the scores of SCL-90 items were negatively correlated with the scores of balanced constitution, but positively correlated with those of the other eight kinds of biased TCM constitution, with the constitutions of qi stagnation(r=-0.432~-0.602, P<0.001), qi deficiency(r=-0.385~-0.544, P<0.001) and blood stasis(r=-0.326~-0.505, P<0.001) being the top three. Multivariate linear regression analysis with the confounding factors(age and sex) controlled showed that the scores of qi deficiency, phlegm dampness, blood stasis, and qi stagnation constitutions were risk factors for somatization(P<0.05). Scores of blood stasis and qi stagnation constitutions were the risk factors for obsessive-compulsive symptoms(P<0.01), while the scores of balanced and yang deficiency constitutions were the protective factors for such symptoms(P<0.01). The scores of damp heat and qi stagnation constitutions were both the risk factors for interpersonal sensitivity and paranoid ideation(P<0.01), while the scores of balanced and yang deficiency constitutions were the protective factors for them(P<0.01). The scores of blood stasis and qi stagnation constitutions were the risk factors for depression(P<0.05), while the scores of balanced and yang deficiency constitutions were the protective factors for it(P<0.05). The scores of qi deficiency, blood stasis and qi stagnation constitutions were all risk factors for anxiety(P<0.05), while the scores of balanced and yang deficiency constitutions were protective factors for it(P<0.05). The score of qi stagnation constitution was a risk factor for hostility(P<0.01), while the score of yang deficiency constitution was a protective factor for it(P<0.01). The score of qi stagnation constitution was a risk factor for phobic anxiety(P<0.05), while the score of balanced constitution was a protective factor for it(P<0.05). The scores of blood stasis and qi stagnation constitutions were the risk factors for psychoticism(P<0.01), while the scores of balanced and yang deficiency constitutions were the protective factors(P<0.05). The score of qi stagnation constitution was a risk factor for the others score(P<0.001), while the scores of balanced and yang deficiency constitutions were the protective factors(P<0.001). Male was a risk factor for all SCL-90 factors, and age was a protective factor for the 8 factors of SCL-90 except for somatization and anxiety.Conclusion The mental health degree according to SCL-90 seems to have certain correlation with the nine kinds of TCM constitutions, with the balanced constitution as the protective factor for mental health, and the blood stasis and qi stagnation constitutions as the risk factors.
作者
吕宏蓬
王天芳
吴秀艳
张靖
颉浩田
杨莹莹
薛霈雯
车钰文
韩鹏鹏
王煜杰
张一勉
LYU Hongpeng;WANG Tianfang;WU Xiuyan;ZHANG Jing;XIE Haotian;YANG Yingying;XUE Peiwen;CHE Yuwen;HAN Pengpeng;WANG Yujie;ZHANG Yimian(School of Chinese Medicine,Beijing University of Chinese Medicine,Beijing 102488,China;Department of Student Affairs,Beijing University of Chinese Medicine,Beijing100029,China)
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2022年第9期941-948,共8页
Journal of Beijing University of Traditional Chinese Medicine
基金
国家自然科学基金面上项目(No.81473598)
北京中医药大学重点攻关项目(No.2020-JYB-ZDGG-021)。
关键词
中医体质
90项症状检核表
心理健康
多元线性回归分析
TCM constitutions
Symptom Checklist-90
mental health
multiple linear regression analysis
