原发性闭角型青光眼患者心理个性和行为特征  

Psychological, personality and behavioral characteristics of patients with Primary angle-closure glaucoma

作　　者：宋峰伟[1] 邵一磊[1] 孙渝超[1] 魏海峰[1] 吴丽萍[1] 方爱武[1] 

机构地区：[1]温州医学院眼视光学院,温州325000

出　　处：《中国实用眼科杂志》2009年第11期1252-1255,共4页Chinese Journal of Practical Ophthalmology

基　　金：基金项目：浙江省新苗人才计划（2008R40G209003）

摘　　要：目的探讨原发性闭角型青光眼（PACG）患者心理、个性和行为特征。方法对53例PACG患者和54名正常人分别运用焦虑自评量表（SAS）、抑郁自评量表（SDS）、艾森克个性问卷（EPQ）和A型行为问卷（TABQ）进行调查评估，并对测量结果进行独立样本t检验、OneWayANOVA分析、X2检验以及相关性分析。结果（Ⅰ）PACG组焦虑值（SAS：42．85±7．30），精神质性（P=49．33＋9．05）、时间紧迫（TH=15．23±3．24），争强好胜（CH=15．32±3．51）及TH＋CH总分（TH＋CH=30．55±5．97）与正常组相比差异有统计学意义（P〈0．05）。（Ⅱ）急性PACG组的SAS得分与正常组差异有统计学意义（P〈0．01）；急、慢性PACG组分别与正常组比较，精神质（P）与TH＋CH差异有统计学意义（P〈0．05）；慢性PACG组的神经质性（N）值得分与急性组、正常组比较差异均有统计学意义（P〈0．05）。（Ⅲ）PACG组与正常组的TABQ量表得分经X2检验得两组A型行为比例差异有统计学意义（X2=10．912，P=0．028〈0．05）。（Ⅳ）PACG组中SAS与SDS、CH、TH＋CH相关性均有统计学意义（P〈0．05）。EPQ测验中P值与SAS、TH、CH和TH＋CH均无相关（P〉0．05）。结论PACG患者有明显的焦虑、精神质以及A型行为倾向。Objective To investigate the psychological, personality, behavioral characteristics of patients with primary angle-closure glaucoma （PACG）.Methods Fifty-three cases of PACG patients （including 28 acute PACG cases, 25 chronic PACG cases ） and 54 cases of normal, use Self-rating Anxiety Scale （SAS）, Selforating Depression Scale （SDS）,EysenckPersonalityQuestionnaire （EPQ）andType-ABehaviorQuestionnaire （TABQ） to investigate and evaluate , respectively, and analysis of the results by one sample T test, OneWay ANOVA analysis, x 2 test and correlation analysis.Results I .There was significant statistical difference in total scores of anxiety value （SAS=42.85± 7.30）, Psychoticism （P=49.33± 9.05 ）, Time and Hurry （TH=15.23±3.24）, Competition and Hostility （CH=15± 3.51） and TH＋CH （TH＋CH=30.55± 5.97） between group of PACG patients and normal group （P〈0.05 or P〈0.01 ）. Ⅱ .There was significant statistical difference in scores of SAS between Acute PACG group and normal group （P〈0.01）; the differences of Psychoti- cism （P） and TH＋CH between normal group and acute PACG group as well as chronic PACG group were statistical significantly （P〈0.05 orP〈0.01 ）; the differences ofNeuroticism （N） of EPQ Personality between chronic PACG group and acute PACG group as well as normal group were statistical significantly （P〈0.05 or P〈0.01 ）. Ⅲ.The proportion of Type-A behavior of TABQ scale between PACG group and the normal group has statistically significant according to Chi-squae test （x 2 = 10.912, P = 0.028 〈0.05）.IV.The SDS, CH, TH, TH＋CH were correlated with SAS in PACG group （P 〈0.05 or P 〈0.01 ）.The SAS, TH, CH, TH＋CH all were no correlated with P value of EPQ （P〉 0.05 ）.Conclusions The patients with PACG have significantly tendency of anxiety, Psychoticism, and Type-A behavior.

关 键 词：原发性闭角型青光眼 心身疾病 心理个性 A型行为 精神质 

分 类 号：R775.2[医药卫生—眼科] R395.1[医药卫生—临床医学]