脑卒中患者焦虑抑郁情绪及相关影响因素分析  

Anxious-depressive emotions and relative influencing factors in stroke patients

作　　者：黄雷[1] 邹文华[1] 

机构地区：[1]长沙市精神病医院,湖南长沙410004

出　　处：《临床心身疾病杂志》2012年第4期370-373,共4页Journal of Clinical Psychosomatic Diseases

摘　　要：目的 探讨脑卒中患者的焦虑抑郁情绪及相关影响因素,为综合干预提供依据.方法 将86例脑卒中患者设为研究组,抽取同期健康者85名设为对照组,采用自拟一般资料调查表、简明智能状况检查表、症状自评量表、焦虑自评量表、抑郁自评量表、汉密顿焦虑量表、汉密顿抑郁量表、社会支持评定量表、生活事件量表、艾森克个性问卷进行测评分析.结果 研究组症状自评量表、焦虑自评量表、抑郁自评量表、汉密顿焦虑量表评分及汉密顿抑郁量表总分和除体质量外的其他因子分,生活事件量表总分和除正性事件外的其他因子分,艾森克个性问卷除掩饰倾向维度外的其他维度分均显著高于对照组（P＜0.05或0.01）;社会支持评定量表评分显著低于对照组（P＜0.05或0.01）.研究组不同程度焦虑抑郁情绪检出率均显著高于对照组（P＜0.05或0.01）;艾森克个性问卷内外倾维度中间型和神经质维度中间、稳定型检出率显著低于对照组（P＜0.05或0.01）,内外倾维度外向型和神经质维度不稳定型检出率显著高于对照组（P＜0.05或0.01）.结论 脑卒中患者存在明显的焦虑抑郁情绪.负性生活事件,缺乏亲人和社会支持,不良个性特征等因素可能是脑卒中患者发生焦虑抑郁情绪的危险因素.Objective To explore anxious-depressive emotions and relative influencing factors in stroke pa tients in order to provide basis for comprehensive intervention. Methods Eighty-six stroke patients were assigned to research group and 85 selected contemporaneously healthy adults to control group, assessments carried out with the Self-made General Information Questionnaire （SGIQ）, Mini-mental State Examination （MMSE）, Symptom Checklist 90 （SCL 90）, Self rating Anxiety Scale （SAg）, Self-rating Depression Scale （SDS）, Hamilton Anxiety Scale （HAMA）, Hamilton Depression Scale （HAMD）, Social Support Rating Scale （SSRS）, Life Events Scale （LES） and Eysenck personality Questionnaire. Results The total score of the SCL-90, SAS, SDS, HAMA as well as the HAMD total and other factors＇ scores except body mass, the LES total and other except positive event and other factors＇ scores of the EPQ except L were all significantly higher （P〈0.05 or 0.01） and the SSRS score lower （P〈0, 05 or 0.01） in research than control group. Detection rates of various degrees of anxiety and depression were significantly higher in re search than control group （P〈0.05 or 0.01） ; the detection rate of E intermediate type and N intermediate and stable type of the EPQ were significantly lower （P〈0.05 or 0.01） and that of extroversion and unstable type higher （P〈0.05 or 0.01） in research than control group. Conclusion Stroke patients have obvious anxious and depressive emotions. Negative events, short of family＇s and social support, and unhealthy unhealthy personality characteristics may be risk factors in the occurrence and development of stroke.

关 键 词：脑卒中 焦虑 抑郁 简明智能状况检查表 症状自评量表 焦虑自评量表 抑郁自评量表 汉密顿焦虑量表 汉密顿抑郁量表 社会支持评定量表 生活事件量表 艾森克个性问卷 

分 类 号：R743[医药卫生—神经病学与精神病学]