甲状腺功能亢进患者心理健康水平与其工作状态、性别及文化程度的相关性调查  

Correlation of mental health status with work status, sex and education in patients with hyperthyroidism

作　　者：赵林双[1] 向光大[1] 钟志庭 乐岭[1] 何玉生[1] 曹红燕[1] 

机构地区：[1]解放军广州军区武汉总医院内分泌科,湖北省武汉市430070 [2]武汉钢铁总公司第二职工医院门诊部心理咨询室,湖北省武汉市430085

出　　处：《中国临床康复》2006年第22期10-12,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:分析武汉市下岗人员甲状腺功能亢进(简称甲亢)患者的心理健康水平及与性别和文化程度的相关性。方法:于2003-06/2004-01选择解放军广州军区武汉总医院内分泌科门诊确诊且正在治疗的弥漫性甲状腺肿伴甲状腺功能亢进症患者160例,均为下岗人员。采用症状自评量表进行心理健康调查,该量表包括躯体化、强迫、人际关系敏感性、抑郁、焦虑、敌对、恐怖、偏执、精神病性9个因子,采用5级评分(0从无,l轻度,2中度,3相当重,4严重)。要求患者根据问卷中所提每一问题,将自己最近1周的实际感受,在5个答案中任选一个。然后将答案输入装有上海惠诚心理咨询综合系统4.0软件的电脑中计算各因子分,进行自动测分评定。结果:发放问卷169份,收回合格问卷160份,有效率94.8%。①武汉市下岗人员甲亢患者症状自评量表焦虑、敌对、人际关系敏感性、偏执、精神病性及强迫因子评分显著高于常模,差异有显著性意义、(P<0.01或P<0.05)。②男性下岗人员甲亢患者焦虑因子分及躯体化,敌对性因子显著高于女性,差异具有显著性意义(P<0.01或P<0.05)。女性精神病性症状因子分显著高于男性,差异有显著性意义(P<0.05)。③初中文化水平者抑郁、偏执因子分及躯体化、强迫、人际关系敏感、焦虑、精神病性症状因子分显著高于高中文化水平者,差异有显著性意义(P<0.01,P<0.05)。结论:下岗人员甲状腺功能亢进患者存在着严重的心理障碍,且存在显著的性别差异,初中文化程度患者的综合心理素质不及高中文化程度者。AIM： To explore the correlation of mental health level with sex and education in Wuhan laid-off workers with hyperthyroidism. METHODS： Altogether 160 laid-off workers with diffuse goiter accompanying hyperthyroidism, diagnosed and receiving treatment in Department of Endocrinology, Wuhan General Hospital of Guangzhou Military Area Command of PLA, were selected. Their mental health status was investigated with symptom checklist, which included 9 factors： scmatizatian, obsession-compulsion, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoiac and psychoticism using 5 grades scoring system （0 not have, 1 mild, 2 moderate, 3 serious and 4 very serious）. The patients did the option from 5 answers according to their actual feeling in recent one week to finish the questionnaire. Then the answers were input to the computer to calculate every factor and evaluate scores with Shanghai Huicheng Psychological Counseling System 4.0 software. RESULTS： Totally 169 questionnaire sheets were delivered, and 160 valid ones were retrieved with efficiency rate of 94.8%, ①The scores of symptom checklist for the workers with hyperthyroidism including anxiety, hostility, interpersonal sensitivity, paranoiac and psychoticism were obviously higher than norm, and differed significantly （P 〈 0.01 or 0.05）, ②The scores of anxiety, somatization and hostility in male laid-off workers with hyperthyroidism were obviously higher than those in female ones, and there were significant differences （P 〈 0.01 or 0.05）; while the score of psychoticism in female was higher than male, and differed significantly （P 〈 0.05）.③The scores of depression, paranoiac, somatization, obsession, interpersonal sensitivity, anxiety and psychoticism in patients with middle school education were significantly higher than those in patients with high sehoul education, which differed markedly （P 〈 0.01 or P 〈 0,05）. CONCLUSION： There are serious mental disorders in laid-off works with hyperthyroidi

关 键 词：心理健康 甲状腺功能亢进症 问卷 

分 类 号：R395[哲学宗教—心理学]