老年慢性功能性便秘患者认知性情绪调节策略和忧郁型人格行为分析  

Cognitive emotional regulation strategy and melancholic personality behavior in elderly patients with chronic functional constipation

作　　者：宋昌群 张雨轶 吴珍 Chang-Qun Song;Yu-Yi Zhang;Zhen Wu(Sleep Centre,The Second Hospital of Jinhua,Jinhua 321016,Zhejiang Province,China)

机构地区：[1]浙江省金华市第二医院睡眠中心,浙江省金华市321016

出　　处：《世界华人消化杂志》2020年第23期1218-1222,共5页World Chinese Journal of Digestology

摘　　要：背景老年慢性功能性便秘(functional constipation,FC)的发病过程与焦虑、抑郁负面情绪和较差的社会支持有一定关系.因此,心理因素和社会支持是老年FC患者疾病恢复中尤为重视和关注的问题.目的探究老年慢性FC患者的认知性情绪调节策略特征及与忧郁型人格行为的关系.方法选择2019-02/2020-05在浙江省金华市第二医院就诊的老年慢性FC患者192例为研究对象,采用认知性情绪调节问卷、忧郁型人格量表进行调查分析.结果老年FC患者非适应性情绪调节分量表总分及责难自己、渴望接纳、沉思、灾难化维度得分均高于国内常模(P<0.05),责难自己维度评分低于国内常模(P<0.05);而适应性情绪调节分量表总分及重新关注计划、积极重新评价、理性分析各维度得分均低于国内常模(P<0.05),积极重新关注维度评分高于国内常模(P<0.05);忧郁型人格量表总分及负性情感和社交抑制量表评分高于国内常模(P<0.05).老年FC患者忧郁型人格行为120例(62.5%),非忧郁型人格行为72例(37.5%),差异有统计学意义(P<0.001).老年FC患者忧郁型人格行为责难自己、沉思、灾难化、责难他人、重新关注计划、积极重新评价、理性分析评分均高于非忧郁型人格行为(P<0.05);而渴望接纳、积极重新关注维度评分无统计学差异.通过Logistic回归分析表明,忧郁型人格行为、渴望接纳、沉思、灾难化与老年FC呈正相关(P<0.05),重新关注计划、理性分析与老年FC呈负相关(P<0.05).结论老年慢性FC患者的认知性情绪调节可能与忧郁型人格行为有关,在临床工作中,医护人员要注重加强患者忧郁型人格行为的适应性情绪.BACKGROUND The pathogenesis of chronic functional constipation(FC)in the elderly is associated with anxiety,depression,negative emotions,and poor social support.Therefore,psychological factors and social support are particularly important issues in disease recovery among elderly FC patients.AIM To explore the characteristics of cognitive emotional regulation strategy and its relationship with melancholic personality behavior in elderly patients with chronic FC.METHODS A total of 192 elderly patients with chronic FC who visited the Second Hospital of Jinhua City,Zhejiang Province from February 2019 to May 2020 were selected as the research subjects,and the cognitive mood regulation questionnaire and melancholic personality scale were used for investigation and analysis.RESULTS The total score of maladaptive emotional regulation subscale and the scores of self-censure,longing for acceptance,meditation,and catastrophizing in elderly FC patients were all significantly higher than the domestic norms(P<0.05),while the score of selfcensure dimension was significantly lower than the domestic norm(P<0.05).The total score of adaptive emotion regulation subscale and the scores of refocusing plan,positive reevaluation,and rational analysis were all significantly lower than the domestic norms(P<0.05),while the score of positive refocus dimension was significantly higher than the domestic norm(P<0.05).The total scores of depressive personality scale and negative emotion and social inhibition scale were significantly higher than the national norms(P<0.05).There were 120(62.5%)patients with melancholic type personality and 72(37.5%)patients with non-melancholic type personality,and the difference was statistically significant(P<0.001).The score of melancholytype personality behavior of elderly FC patients was significantly higher than that of non-melancholy-type personality behavior(P<0.05).However,there were no statistically significant differences in the dimension scores of desire for acceptance and active reattention(P>0.05).

关 键 词：老年 慢性功能性便秘 认知性情绪调节策略 忧郁型人格行为 

分 类 号：R574.62[医药卫生—消化系统]