慢性颈腰痛患者社会支持和人格特征对心理状况影响  

Influence of social support and personality traits on psychological characteristic of patients with chronic cervicodynia and lumbodynia

作　　者：卫杰[1] 赵平[1] 陈立君[1] 秦慧卿[2] 施旺红[2] 郭伟[1] 甄鹰[1] 

机构地区：[1]空军总医院中西医结合正骨科,北京100142 [2]第四军医大学心理教研室

出　　处：《中国骨伤》2012年第3期216-219,共4页China Journal of Orthopaedics and Traumatology

摘　　要：目的:研究慢性颈腰痛患者社会支持和人格特征对心理状况的影响,提高慢性颈腰痛整体诊治水平。方法:2009年8月至2010年4月,将231例慢性颈腰痛患者纳入研究中(获得217份有效问卷),男123例,女94例,年龄15～66岁,平均(38.00±5.67)岁。用社会支持评定量表(Social Support Rating Scale,SSRS),卡特尔16种人格因素问卷(the Sixteen Personality Factor Questionnaire,16PF)及心理状况自评量表(Symptom Checklist-90,SCL-90)对其心理和社会支持状况进行调查及测量,比较心理状况、人格特征和常模(又称测验常模,指一定人群在测验所测特性上的普遍水平或水平分布状况)之间的差异,分析社会支持和人格特征对心理状况的影响,并与常模进行比较。结果:获得有效问卷217份。患者16PF中聪慧性、稳定性、兴奋性、有恒性、敢为性、怀疑性、世故性、实验性、独立性、紧张性因子分明显高于常模(P<0.01);SCL-90中躯体化、抑郁、焦虑、敌对性、恐怖、偏执等因子分和总分、总均分明显高于常模(P<0.01),强迫因子分高于常模(P<0.05)。社会支持主观支持分和总分对心理状况有正面影响,人格特征中的聪慧性、稳定性、有恒性、自律性对患者心理状况有正面影响,世故性、忧虑性对患者心理状况有负面影响。结论:慢性颈腰痛患者人格特征和心理状况与常模间差异明显,可以通过提高社会支持、改变患者人格特征来改善患者心理状况评分,提高慢性颈腰痛综合治疗水平。Objective：To explore the effects of social support and personality traits on psychological characteristic of patients with chronic cervicodynia and lumbodynia and improve the level of diagnosis and treatment. Methods：From August 2009 to April 2010,231 patients （obtained 217 effective responses） with chronic cervicodynia and lumbodynia were recruited. Among the patients,there were 123 males and 94 females,with an average age of（38.00±5.67） years（ranged from 15 to 66 years）. Social Support Rating Scale（SSRS）,Cattell Sixteen Personality Factor Questionnaire （16PF） and Symptom Checklist 90（SCL-90） were used to test social support and psychological characteristic and compared the difference of psychological,personality traits and norm,then analyzed the effect of social support and personality traits on psychological characteristic. Results：Two hundred and seventeen（93.9%） patients completed the questionnaire. Compared with normal 16PF scores,there were significant differences in factor scores of intelligence,stability,excitability,perseverance,social boldness,vigilance,sophistication,experimental,independenceand tonicity（P0.01）. And for SCL-90,the score of somatization,depression,anxiety,rivalrounsness,horror,bigotry,total score and mean score were higher than norm（P0.01）. For SSRS,subjective support points and total points had positive effects;While intelligence,stability,perseverance,self-discipline had positive effects,vigilance and anxiety had negative effects. Conclusion：There were significant differences in personality traits and psychological characteristic between patients with chronic cervicodynia and lumbodynia and norms. Improving social support level and optimizing personality traits can improve psychological profile of these patients.

关 键 词：慢性病 颈痛 腰痛 社会支持 心理学 

分 类 号：R395.6[哲学宗教—心理学]