癫痫患者焦虑抑郁、社会支持状况与主观幸福感的相关性  

Correlation between emotion of anxiety and depression, social support and subjective well-being for epileptic patients

作　　者：朱培培[1] 卓文燕[1] 陈玲[1] 

机构地区：[1]暨南大学附属珠海医院(珠海市人民医院)神经内科,珠海519000

出　　处：《中国神经精神疾病杂志》2014年第9期527-531,共5页Chinese Journal of Nervous and Mental Diseases

摘　　要：目的探讨癫痫患者焦虑抑郁、社会支持状况与主观幸福感的相关性。方法连续选取珠海市人民医院神经内科门诊就诊及住院的癫痫患者76例,正常对照组60例,分别行汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(Hamilton anxiety scale,HAMA)、社会支持评定量表(social support rating scale,SSRS)及总体幸福感量表(general well-being scale,GWB)的测评,然后进行统计分析。结果研究组HAMA、HAMD得分均高于对照组(t分别为-5.78和-5.54,P<0.01)。研究组社会支持评定量表总分及其各维度得分均低于对照组(P<0.05)。研究组GWB总分低于对照组(P<0.01)。HAMA与GWB总分、社会支持及其各维度得分呈负相关(P<0.05);HAMD与GWB总分、社会支持及其各维度得分呈负相关(P<0.05);社会支持总分及其各维度与GWB总分均呈正相关(P<0.05)。结论癫痫患者焦虑抑郁负性情绪对患者心境、社会交往及生活质量不利,社会支持减少拉低患者主观幸福感水平,应及早行相应心理干预。Objective To investigate the correlation between emotion of anxiety and depression, social support and subjective well-being in epileptic patients. Methods Seventy-six cases were consecutively collected from the outpatient clinic and ward and 60 normal cases were included as control group. Hamilton anxiety scale （HAMA）, Hamilton depression scale （HAMD）, social support rating scale （SSRS） and general well-being scale （GWB） were used to evaluate anxiety and depression emotion and social support and subjective well-being. Results Compared with the control group, the HAMA and HAMD scores were higher （t =-5.78and -5.54,respectively, P 〈 0.01）, and the social support rating total score and each dimension scores are lower in epileptic group （P〈0.05）. The scores on GWB, depression or happy state of mind （SH） and relaxation and tension, anxiety （RT） were lower in epileptic group than in control group （P 〈 0.01）. The scores on HAMA and GWB were negatively correlated with the satisfaction of life and interests, energy, relaxation and tension, social support and its each dimension（P 〈0.05）. The scores on HAMD and GWB were negatively correlated with depression or happy state of mind, social support and its each dimension scores （P 〈0.05）; The scores on social support and its various dimensions were positively correlated with GWB （P 〈0.05）. Conclusions The anxiety depression negative sentiment of epilepsy patients seriously affects the patients＇ state of mind, social interaction and the quality of life, and the reduced social support reduces the level of patients＇ subjective well-being. The early psychological intervention is indispensable for epilepsy patients.

关 键 词：癫痫 焦虑 抑郁 社会支持 主观幸福感 

分 类 号：R742.1[医药卫生—神经病学与精神病学]