麻风病受累者心理障碍及其影响因素分析  

Prevalence of mental disorders and its influencing factors among cured leprosy patients

作　　者：潘美儿[1] 高彦伟 王景权[1] 周爱林[3] 施大伟[4] 凌丰[3] 严良斌[5] 

机构地区：[1]浙江省皮肤病防治研究所住院部,德清313200 [2]浙江上虞市皮肤病防治院 [3]浙江海宁市疾病预防控制中心 [4]浙江杭州市余杭区疾病预防控制中心 [5]中国疾病预防控制中心麻风病控制中心

出　　处：《中国公共卫生》2014年第4期423-426,共4页Chinese Journal of Public Health

基　　金：中国荷兰麻风病防治合作卫生系统研究项目(HSR-2011-02)

摘　　要：目的了解麻风病受累者的心理障碍情况及其相关影响因素。方法采用一般情况调查表、症状自评量表(SCL-90)对浙江省余杭、上虞、海宁3个地区的部分社区和麻风病院整群抽取的392例治愈存活麻风受累者进行问卷调查。结果 392例麻风病受累者心理障碍的流行率为24.49%;与全国常模比较,麻风病受累者躯体化[(1.56±0.51)分]、抑郁[(1.63±0.54)分]、恐怖[(1.33±0.51)分]因子得分均高于常模[(1.37±0.48)、(1.50±0.59)、(1.23±0.41)分],人际敏感[(1.47±0.62)分]、焦虑[(1.30±0.39)分]、敌对[(1.33±0.40)分]、偏执[(1.23±0.39)分]、精神病性[(1.24±0.34)分]因子得分均低于常模[(1.65±0.51)、(1.39±0.43)、(1.48±0.56)、(1.43±0.57)、(1.29±0.42)分],差异均有统计学意义(P<0.05);多因素logistic回归分析表明,年龄、健康状况、经济状况、社会歧视、残疾情况、亲友关心为麻风病受累者心理障碍的影响因素。结论麻风病受累者存在心理障碍,在麻风防治活动中进行相应的心理康复十分必要。Objective To investigate the prevalence of mental disorders and its influencing factors among cured leprosy patients.Methods General condition questionnaire and Symptom Checklist-90（SCL-90）were used in the survey to evaluate the mental health status of 392 cured leprosy patients selected with cluster sampling from communities in three districts of Zhejiang province,China.Results The prevalence of mental disorders was 24.49%（96/392）and the scores of somatization（1.56±0.51）,depression（1.63±0.54）,and phobic anxiety（1.33±0.40）were higher than those of the norms（1.37±0.48,1.50±0.59,and 1.23±0.41）,whereas the scores of interpersonal sensitivity（1.47±0.62）,anxiety（1.30±0.39）,hostility （1.33±0.40）,paranoid ideation （1.23±0.39）,and psychoticism（1.24±0.34）were lower than those of the norms （1.65±0.51,1.39±0.43,1.48±0.56,1.43±0.57 and 1.29±0.42）,all with marked statistical differences（P〈0.05）.Multiple variates logistic regression analyses showed that the influencing factors of mental disorders among the cured leprosy patients included age,health status,economical status,perceived social stigma,disability severity,and magnitude of care from relatives and friends.Conclusion Cured leprosy patients have mental disorders and psychological rehabilitation is imperative in leprosy control activities.

关 键 词：麻风病 心理障碍 影响因素 症状自评量表(SCL-90) 

分 类 号：R755.01[医药卫生—皮肤病学与性病学]