支气管哮喘患者心理健康与应对方式  

Mental Health and Coping Style of Patients with Asthma

作　　者：李婷[1,2] 王一赫[1] 段熙明[3] 江虹[1] 刘德祥[1] 

机构地区：[1]山东大学医学院,中国济南250012 [2]山东省聊城市人民医院 [3]济宁医学院

出　　处：《中国健康心理学杂志》2013年第2期189-191,共3页China Journal of Health Psychology

基　　金：国家科技支撑计划项目(2009BA77B05)

摘　　要：目的研究支气管哮喘患者的心理健康状况与应对方式。方法以症状自评量表(SCL-90)、抑郁自评量表(SDS)、焦虑自评量表(SAS)、特质应对方式问卷对60例确诊的支气管哮喘患者和50例正常对照者进行调查研究。结果患者组SCL-90总分、躯体化、人际敏感、抑郁、焦虑、敌对、恐惧、偏执、精神病性得分显著高于对照组(t=4.441,5.722,4.124,3.232,5.631,4.300,3.863,1.712,1.982;P<0.05或P<0.01);抑郁和焦虑得分显著高于对照组(t=5.101,7.142;P<0.01)。患者组的积极应对方式显著低于对照组(t=-5.591,P<0.01),消极应对方式显著高于对照组(t=4.482,P<0.01)。相关分析显示,积极应对与SCL-90总分、焦虑、抑郁得分呈负相关(r=-0.238,-0.259,-0.324;P<0.001),消极应对与SCL-90总分、焦虑、抑郁得分呈正相关(r=0.407,0.435,0.442;P<0.001)。结论支气管哮喘患者的心理健康状况较低,存在明显的焦虑和抑郁情绪,且更多采用消极应对方式。Objective To explore the state of mental health and coping style of patients with asthma.Methods Mental symptoms,depression,anxiety and coping style of 60 patients with asthma and 50 normal people were tested with Symptom Checklist 90（SCL-90）,Self-rating Depression Scale（SDS）,Self-rating Anxiety Scale（SAS）and trait coping type inventory.Results There were significant differences in the scores of total SCL-90,somatization,interpersonal sensitivity,depression,anxiety,opposition,terror,paranoid and psychotic between patients and control group（t=4.441,5.722,4.124,3.232,5.631,4.300,3.863,1.713,1.983;P0.05,P0.01）.The scores of SDS and SAS of patients were higher than those of control group（t=5.101,7.142;P0.01）.The negative coping type was higher than that of the normal people（t=-5.591,P0.01）,while the positive coping type was lower than that of normal people（t=4.482,P0.01）.Positive coping had significantly negative correlation with the scores of SCL-90,anxiety and depression（r=-0.238,-0.259,-0.324;P0.001）,but the negative coping had positive correlation with the scores of SCL-90,anxiety and depression（r=0.407,0.435,0.442;P0.001）.Conclusion Patients of asthma have lower level of mental health and obvious anxiety and depression emotion,and have more negative coping style.

关 键 词：健康心理学 支气管哮喘 应对方式 心理健康 焦虑 抑郁 

分 类 号：R135[医药卫生—劳动卫生]