HPV阳性患者心理应激特点及其与情绪体验和社会支持的关系  

Psychological stress in HPV-positive patients and its relationship with emotion experience and social support

作　　者：王旭[1] 任玉香[2] 陶雪梅[2] 向霞[2] 吴凤英[2] 孟珊[2] 徐媛媛[3] 李敏[3] 

机构地区：[1]第三军医大学学员旅,重庆400038 [2]第三军医大学西南医院妇产科,重庆400038 [3]第三军医大学心理学院军事学教研室,重庆400038

出　　处：《第三军医大学学报》2017年第16期1684-1690,共7页Journal of Third Military Medical University

基　　金：第三军医大学大学生创新创业训练计划项目(2016690031040)~~

摘　　要：目的分析HPV阳性患者的心理应激特点及其与情绪体验和社会支持的关系。方法采用正负性情绪量表(positive and negative affect scale,PANAS)、心理应激自评问卷(psychological stress self-evaluation test,PSET)和领悟社会支持量表(perceived social support scale,PSSS)对101名HPV阳性患者进行调查。结果 (1)HPV阳性患者应激水平低于50分者52人(占51.49%),轻度应激(50~60分)30人(占29.70%),中度应激(>60~69分)16人(占15.84%),重度应激(>69分)3人(占2.97%);(2)HPV阳性患者的心理应激症状主要表现在睡眠不好(89.1%)、紧张烦躁(90.1%)、易惊跳(53.5%)、警觉性增加(87.1%)、身心疲惫(75.2%)、易激惹(76.5%)、过度兴奋(57.4%)、灾难场景闪回(64.4%)等;(3)HPV阳性患者心理应激水平与其积极情绪呈负相关(r=-0.464,P<0.01),与消极情绪呈正相关(r=0.560,P<0.01);且与领悟社会支持程度呈负相关(r=-0.225,P<0.05);(4)逐步回归分析的结果提示:负性情绪、正性情绪可以有效预测心理应激水平,总解释率为39.5%。结论近一半的HPV阳性患者均有不同程度的心理应激反应,且心理应激水平与其积极情绪、消极情绪和领悟社会支持程度具有相关性。Objective To analyze the characteristics of psychological stress in the patients with HPV infection, and explore its relationships with emotion experience and social support. Methods Positive and negative affect scale（PANAS）, psycho]ogical stress self-evaluation test（PSET）, and perceived social support scale （PSSS） were applied to survey 101 patients infected with HPV. Results （1）As for the stress level of the subjects, there were 52 subjects （51.49%） in non-stress level （ 〈50 points） , 30 （29.70%） in mild stress （50 - 60 points）, 16 （ 15.84% ） in moderate stress （ 〉 60 - 69 points）, and 3 （2.97%） in severe stress （ 〉 69 points）. （2）The psychological stress of the patients mainly manifested as sleep deprivation （ 89.1% ）, nervous irritability （90.1%）, easy to startle（53.5% ）, increased alertness （87.1%）, mental and physical fatigue （75.2%）, easy to be offended （76.5 % ） , superexcitation （57.4%） , and flashback of disaster scene （64.4%）, etc. （3）The stress level of the patients was negatively correlated with positive emotion （r = -0. 464, P 〈 0. 01 ） and social support level （ r = - 0. 225, P 〈 0.05 ） , and positively correlated with negative emotion （ r=- 0. 560, P 〈0. 01 ）. （4）Stepwise regression analysis indicated that negative and positive emotion were important predictors for psychological stress, and explained 39.5% variance of psychological stress. Conclusion There are nearly a half of HPV-positive patients suffering from psychological stress reaction in different degrees. Its level is significantly correlated with positive emotion, negative emotion, and social support level.

关 键 词：人乳头瘤病毒 心理应激 情绪体验 社会支持 

分 类 号：R373.9[医药卫生—病原生物学] R395.1[医药卫生—基础医学]