原发性高血压患者的心理健康状况及应对方式调查  

A survey of mental health condition and coping modes in patients with essential hypertension

作　　者：金敏[1] 赵红[1] 徐锋[1] 

机构地区：[1]四川省绵阳市第三人民医院(四川省精神卫生中心)临床心理科,621000

出　　处：《神经疾病与精神卫生》2010年第5期462-463,共2页Journal of Neuroscience and Mental Health

基　　金：四川省卫生厅科研课题（编号080209）

摘　　要：目的了解原发性高血压患者的心理健康状况以及应对方式，为原发性高血压的心理社会干预提供理论依据。方法采用焦虑自评量表（SAS）、抑郁自评量表（SDS）及医学应对问卷（MC—MQ）对50例原发性高血压患者进行调查，统计焦虑及抑郁症状发生率及与应对方式的关系。结果原发性高血压患者中焦虑症状发生率为18％，抑郁症状发生率为50％，同时存在焦虑及抑郁症状者为10％；焦虑症状与应对方式无显著相关（t=0．78；1．06和0．14，P〉0．05），抑郁症状与面对应对方式呈正相关（t=2．96，P〈0．05），与屈服应对方式呈负相关（t=2．20，P〈0．05）。结论原发性高血压患者的焦虑及抑郁发生率较高，焦虑症状与应对方式无显著相关，而伴发抑郁症状的高血压患者较无抑郁症状的患者更少采用面对应对方式，更多采取屈服应对方式。Objective To investigate mental health eondition and coping modes in patients with essential hypertension, and to provide guidance for psychotherapy in essential hypertension patients. Methods Fifty cases were surveyed with essential hypertension by SDS and SAS and MCMQ respectively, the incidence of anxiety and depression and its relationship with coping modes were evaluated. Results The incidence of anxiety, depression, and both anxiety and depression among the patients was 18%, 50%, and 10% respectively. There was no significant correlation between anxiety and coping modes （P 〉 0.05）. There was a positive correlation between depression and confrontation （P 〈 0.05）, and a negative correlation between depression and resignation （P〈 0.05）. Conclusions The incidence of anxiety and depression is comparatively high in essential hypertension. There is no significant correlation between anxiety and coping modes. Patients with depression adopt less confrontation and more resignation than those without depression.

关 键 词：高血压 焦虑 抑郁 应对方式 

分 类 号：R544.1[医药卫生—心血管疾病]