伴躯体疼痛症状抑郁症患者的临床特点和生活质量  

The clinical trait and life quality of depression with pain symptom of body

作　　者：冯俊慧[1] 宋天华[1] 陈景清[1] 

机构地区：[1]山东省安康医院,济宁272051

出　　处：《中国行为医学科学》2007年第8期705-707,共3页Chinese Journal of Behavioral Medical Science

摘　　要：目的研究伴躯体疼痛症状抑郁症患者的临床特点和生活质量。方法对126例伴疼痛症状的抑郁症患者（研究组）和110例不伴疼痛症状的抑郁症患者（对照组），用汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）、生活质量综合评定问卷（GQOLI-74）、视觉模拟量表（VAS）、自制疼痛部位及部位个数调查表，进行相关对比分析。结果研究组的HAMD、HAMA总分平均值均明显高于对照组[（28．5±5．1）分vs（22．3±4．3）分；（26．6±10．9）分vs（15．4±9．6）分]，二者差异有显著性（P〈0．01）；研究组生活质量评分低于对照组[（51．5±13．2）分vs（63．6±7．0）分]，二者差异有显著性（P〈0．01）。抑郁的严重程度与疼痛严重程度显著相关（r=0．48，P〈0．01），与疼痛部位数呈弱相关（r=0．31，P〈0．01），与疼痛部位无明显相关性（r=0．12，P〉0．05）。生活质量与疼痛评分显著相关（r=0．52，P〈0．01）。结论伴躯体疼痛症状的抑郁症的抑郁、焦虑程度较不伴疼痛症状的抑郁症重、生活质量较差，且其抑郁的严重程度和生活质量受疼痛强度或疼痛部位数目的影响。Objective To investigate the clinical trait of depression with pain symptom of body. Methods A total of 126 depressive patients with pain symptom （investigation group） and a total of 110 depressive patients without it （compare group） were assessed by HAMD, HAMA, CQOLI-74, VAS and questionnaire of the position and total of pain （ made by myself） to analyze the relative factors. Results The HAMD, HAMA average total score of investigate group was all significantly higher than that of compare group （28.5 ± 5.1 vs 22.3 ± 4.3 ; 26.6 ± 10.9 vs 15.4 ± 9.6）, and there was statistical difference between the two groups （ P 〈 0. 01 ） ;the total score of comprehensive assessment of life quality of investigation group were lower than that of compare group（51.5 ± 13.2 vs 63.6 ± 7. 0）, and there was statistical difference （ P 〈 0. 01 ）. The severity of depression was positively correlate with the severity of pain symptom （ r =0. 48, P 〈0. 01 ） and the numbers of painful position （ r = 0. 31, P 〈 0.01 ）, but there was no correlation between the severity of depression and painful position （ r= 0. 12, P〉 0. 05）. The life quality was positively correlate with the severity of pain symptom（ r=0. 52, P〈0. 01 ）. Conclusion The severity of depression and anxiety of depression with pain symptom was more serious and the life quality was more lower than that of depression without it, and the severity of depression and the life quality was influenced by the painful severity or the total of painful position.

关 键 词：躯体疼痛症状 抑郁症 临床特点 生活质量 

分 类 号：R686[医药卫生—骨科学]