积极心理对慢性耳鸣患者情绪困扰的影响  

Effect of Positive Psychological Quality on Emotional Distress in Patients with Chronic Tinnitus

作　　者：戚敏[1] 曾祥丽[1] 张姝琪 岑锦添[1] 顾晶[1] 袁联雄 黎志成[1] QI Min;ZENG Xiang-li;ZHANG Shu-qi;CENJ in-tian;GU Jing;YUAN Lian-xiong;LI Zhi-cheng(Department of Otorhinolaryngal-head and neck surgery,The Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China;Department of Scientific Research,The Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China)

机构地区：[1]中山大学附属第三医院耳鼻咽喉-头颈外科,广东广州510630 [2]中山大学附属第三医院科研科,广东广州510630

出　　处：《中山大学学报（医学版）》2018年第5期748-752,758,共6页Journal of Sun Yat-Sen University:Medical Sciences

基　　金：广州市科技计划项目(201704030081)

摘　　要：【目的】探讨心理弹性及自尊两个积极心理因素在缓解慢性耳鸣患者情绪困扰中的作用,为耳鸣的临床管理提供新思路。【方法】通过心理弹性量表、自尊量表及抑郁-焦虑-压力简表了解慢性耳鸣患者的心理弹性、自尊、抑郁、焦虑及压力水平,再运用SPSS 24.0对入组的124名受试的数据进行相关分析及中介效应分析,最后运用AMOS 24.0进行结构方程模型验证。【结果】(1)绝大部分患者并无严重的情绪困扰,心理弹性、自尊、抑郁、焦虑及压力均无显著的性别间差异(P> 0.05);(2)心理弹性、自尊与抑郁、焦虑及压力均存在极显著的负相关关系,压力与抑郁及焦虑存在极显著的正相关关系(P <0.00);(3)心理弹性、自尊在压力与抑郁及焦虑间发挥着部分中介效应,而自尊也在压力与心理弹性间发挥着部分中介效应;(4)结构方程模型各项拟合指标良好。【结论】心理弹性及自尊两个积极心理因素可以通过部分中介效应缓和慢性耳鸣患者的情绪困扰,提高患者的积极心理品质应可作为耳鸣临床管理的新取向。【Objective】To explore the role of two positive psychological factors,resilience and self-esteem,in alle-viating emotional distress in patients with chronic tinnitus,and to provide new ideas for clinical management of tinnitus.【Method】To understand the resilience,self-esteem,depression,anxiety and stress of patients with chronic tinnitus by using CD-RISC,SES and DASS-21.SPSS 24.0 was used to analyze the data of 124 subjects,and AMOS 24.0 was used to verify the structural equation model.【Results】The vast majority of patients do not have serious emotional distress,and there was no significant gender difference in resilience,self-esteem,depression,anxiety and stress(P>0.05).There was significant positive correlation between stress and depression and anxiety,respectively,and significant negative corre-lation between resilience(and self-esteem)and depression,anxiety and stress,respectively.Resilience and self-esteem play a partial mediating role between stress and depression and anxiety,and self-esteem also plays a partial mediating ef-fect between stress and resilience.The fitting indexes of structural equation model are good.【Conclusion】Resilience and self-esteem can alleviate the emotional distress of patients with chronic tinnitus through partial mediating effect,and the improvement of positive psychological quality of patients should be a new orientation of clinical management of tinnitus.

关 键 词：耳鸣 心理弹性 自尊 抑郁 焦虑 积极心理学 

分 类 号：R76[医药卫生—耳鼻咽喉科]