伤前应激性生活事件对脑震荡患者生活质量及情绪症状的影响  

The influence of pre-injury stressful life events on the life quality and mood symptoms following cerebral concussion

作　　者：李祖晟[1] 陈洪武[1] 金鑫[1] 金波[1] 杨其国[1] 

机构地区：[1]宁波市第六医院,宁波315040

出　　处：《中华行为医学与脑科学杂志》2015年第5期447-450,共4页Chinese Journal of Behavioral Medicine and Brain Science

摘　　要：目的 探讨伤前应激性生活事件对脑震荡患者生活质量及情绪症状的影响.方法 对285例脑震荡患者在基线时进行应激性生活事件问卷（stressful life events questionnaire,SLESQ）、平民版创伤后应激障碍症状清单（PTSD checklist civilian,PCL-C）、健康调查简表（thirty-six-item short-form health survey,SF-36）、汉密顿抑郁量表（hamilton depression rating scale,HDRS）、汉密顿焦虑量表（hamilton anxiety scale,HAMA）等量表评估,在脑震荡后3个月时进行HDRS、HAMA、SF-36量表评估.采用多元回归分析来考察受伤前应激性生活事件对脑震荡患者3个月后生活质量及情绪状态的影响.结果 应激性生活事件的发生率为42.8％,脑震荡3个月时,控制了年龄、性别、教育程度、个人收入、社会支持、受伤前抑郁焦虑等因素后,在多元回归分析中,SLESQ对SF-36躯体健康因子、SF-36精神健康因子、HDRS、HAMA的R2值分别为0.064、0.111、0.145、0.028,均差异有统计学意义（P＜0.05或P＜0.01）.结论 颅脑损伤前的应激性生活事件是脑震荡患者出现生活质量不佳及焦虑抑郁情绪的影响因素.Objective To test the reliability and validity of Chinese version of Stressful Life Events Questionnaire and the influence of preinjury stressful life events on the life quality and mood symptoms of the patents following cerebral concussion.Methods 285 patients with cerebral concussion were assessed by Stressful Life Events Questionnaire（SLESQ）,PTSD Checklist civilian version（PCL-C）,Thirty-Six-Item Short-Form Health Survey （SF-36）,Hamilton Depression Rating Scale（HDRS）,Hamilton Anxiety Scale（HAMA） at baseline.The patients had been reassessed with the HDRS,HAMA,SF-36 at 3 months after cerebral concussion.The hierarchical regression analyses were used to determine the influence of Stressful Life Events for the life quality and mood symptoms of the patient with cerebral concussion.Results The incidence of stressful life events was 42.8％.The multiple regression analysis showed the experience of stressful life events were the influence factor of scores on the SF-36,HDRS,HAMA after adjusted by the age,gender,education,income,social support,the scores of anxiety and depression before injury and the R 2 value of SLESQ to SF-36 physical health factor,mental health factor,HDRS,HAMA was 0.064,0.111,0.145,0.028,respectively.Conclusion The history of stressful events is the influence factor of the patient with cerebral concussion to have poor life quality and mood disorder.

关 键 词：脑震荡 应激性生活事件量表 生活质量 情绪 

分 类 号：R651.15[医药卫生—外科学]