不同预后慢性疲劳综合征患者精神情志因素差别分析  

Analysis on Psychological Symptoms of Chronic Fatigue Syndrome in Different Prognosis

作　　者：张振贤[1] 沈剑箫[1] 张烨[1] 陈敏[1] 张敏[1] 周展红[1] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院中医内科,上海200437

出　　处：《辽宁中医杂志》2012年第12期2352-2354,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：上海教委课题(07CZ030);上海市卫生局课题(30304113336)

摘　　要：目的:研究CFS患者精神情志因素与预后的关系。方法:运用SCL90量表及FS-14量表对120例未干预治疗CFS患者进行测评并进行3个月随访,分析精神情志因素与患者预后的关系。结果:未干预治疗CFS患者中有70.83%的患者症状未见好转,好转组评分与未好转组SCL-90评分有统计学差异(P<0.05)的因子分有:躯体化、敌对、抑郁、焦虑及总分。结论:(1)未干预治疗CFS患者预后不佳,高达70%以上的患者在未经适当治疗的情况下持续存在各种精神情志症状。(2)当CFS患者存在明显自觉躯体症状、敌对、强迫、抑郁、焦虑等负面情绪时其预后多不佳。Objective：To analyze the relationship between psychological symptoms and prognosis of of Chronic Fatigue Syndrome. Methods：To analyze the relationship between psychological symptoms and prognosis of 120 cases of CFS patients with SCL90 scale and FS-14 scale. Results：After three-month follow-up,it found that among all these CFS patients,70.83% of them had no improvement in symptoms. The improved group and the unimproved group had statistical differences in SCL90 factors,including somatization,hostility,depression, anxiety and total score. Conclusion： CFS had poor prognosis, more than 70% of those patients would suffer from continued psychological and mental symptoms if they didn＇ t get proper treatment. CES patients might have poor natural prognosis when they had those obvious symptoms：somatization,hostility,depression and anxiety.

关 键 词：慢性疲劳综合征 精神情志因素 预后 量表评定 

分 类 号：R2-03[医药卫生—中医学]