青少年特发性脊柱侧凸患者的心理特征分析  

Analysis of psychological characteristics in adolescent idiopathic scoliosis

作　　者：上官磊[1] 樊星[2] 苗丹民[3] 陶惠人[1] 罗卓荆[1] 

机构地区：[1]第四军医大学西京医院骨科 [2]第四军医大学西京医院整形外科 [3]第四军医大学心理学教研室,西安市710032

出　　处：《中国脊柱脊髓杂志》2009年第3期204-207,共4页Chinese Journal of Spine and Spinal Cord

摘　　要：目的：分析青少年特发性脊柱侧凸（AIS）患者的心理特征，并与普通人群进行比较，为AIS患者的心理干预提供依据。方法：对2006年9月-2008年10月门诊或住院的46例AIS患者进行心理学评分，并和同年龄段的50例健康青少年志愿者（对照组）的评分进行比较，同时比较男女患者之间以及轻度（10°-40°）、中度（41°-90°）和重度（〉90°）脊柱侧凸患者之间评分的差异。评分采用第四军医大学心理学教研室推荐的症状自评量表（symptom checklist 90，SCL-90）、抑郁自评量表（self-rating depressive scale，SDS）和焦虑自评量表（self-rating anxiety scale，SAS），所有量表均由患者及志愿者本人独立完成，由我校心理学教研室进行统一分析。结果：AIS患者SCL-90躯体化、人际敏感、抑郁症状、焦虑症状、偏执症状评分均显著高于对照组（P〈0.05），而强迫症状、敌对症状、恐怖症状和精神病性评分与对照组比较无显著性差异（P〉0.05）。对照组中男性的SDS和SAS评分与女性比较无显著性差异（P〉0.05），AIS组女性患者的SDS和SAS评分均显著高于男性患者（P〈0.05）＋AIS组女性患者的SDS和SAS评分与对照组女性比较有显著性差异（P〈0.05），男性患者与对照组男性比较有显著性差异（P〈0.05）。重度脊柱侧凸患者的SDS和SAS评分明显高于轻、中度脊柱侧凸患者（P〈0.05），但轻、中度患者问评分无显著性差异（P〉0.05）。结论：AIS患者的心理特征为躯体化、敏感、偏执、抑郁和焦虑，女性患者较男性更易发生抑郁和焦虑，重度脊柱侧凸患者心理异常较中、轻度脊柱侧凸患者更为明显。Objective：To analyze the psychological characteristics in patients with adolescent idiopathic scoliosis （AIS） and compare with normal to provide evidence for psychological interference.Method：46 AIS patients and 50 normal controls from September 2006 to October 2008 were enrolled for this research,all cases were scored under symptom checklist 90（SCL-90）,self-rating depressive seale（SDS） and self-rating anxiety scale （SAS） recomanded by psycological dept of 4th Military Medical University,the results were compared with 50 healthy adolescent volunteer of the same old,the sex-related and severity-related variation were analyzed either.All forms were finished by paticipants individually,the results were processed in our psycologieal dept.Result：The SCL-90 assessment in AIS group had higher scores of somatization,interpersonal sensitivity, depression,anxiety and obstinacy than those in controls,which had statistically significant difference （P〈0.05）. There was no significant difference between the two groups in terms of obsessive-compulsive,hostility,terror and psychotics traits （P〉0.05）.Age-related variation was not noted in SDS and SAS （P〉0.05）.The scores of SDS and SAS had significant difference between female and male AIS patients （P〈0.05）.There was significant difference between female patients and female controls （P〈0.05） in SDS and SAS.There was also significant difference between male patients and male controls （P〈0.05） in terms of SDS and SAS.Patients with severe AIS got significantly higher scores in SDS and SAS than medium and mild patients （P〈0.05）.Conclusion：The psychological characteristics of adolescent idiopathic scoliosis patients are somatization, sensitivity ,obstinacy ,depression and anxiety.Female patients are more likely to suffer from depression and anxiety than males.Compared with medium and mild patients,severe AIS patients are more likely to have psycological abnormality.

关 键 词：青少年特发性脊柱侧凸 心理特征 心理评分 

分 类 号：R682.3[医药卫生—骨科学] R395.2[医药卫生—外科学]