肠易激综合征患者的患病行为及其影响因素  

The illness behavior and its correlative factors in patients with irritable bowel syndrome

作　　者：王伟岸[1] 何剑琴[1] 胡品津[1] 林金坤[1] 

机构地区：[1]中山大学附属第一医院消化科,广东广州510080

出　　处：《中国行为医学科学》2003年第3期265-267,共3页Chinese Journal of Behavioral Medical Science

摘　　要：目的　探讨肠易激综合征 (IBS)患者的患病行为及其影响因素。方法　采用临床症状自评量表 (SCL 90 )、特质应对方式问卷、应付方式问卷、社会支持评定量表和患病行为问卷对 41例IBS患者进行测评 ,并与消化性溃疡患者 (PU)及正常人进行比较。结果　 1)与正常人相比 ,IBS患者的抑郁 (P =0 .0 2 0 )和焦虑 (P =0 .0 16)因子评分明显增高 ;而与PU相比 ,IBS患者的强迫症状 (P=0 .0 3 7)、抑郁 (P =0 .0 45 )和精神病性 (P =0 .0 2 8)因子评分明显增加 ;2 )IBS患者消极应对积分高于正常人 (P =0 .0 10 )和PU(P=0 .0 45 ) ;IBS患者的幻想和退避应付方式积分明显高于正常人 (P <0 .0 5 )和PU(P <0 .0 5 ) ;3 )IBS患者的社会支持主观分上比正常人低 (P <0 .0 5 ) ,而IBS患者社会总支持分低于PU(P <0 .0 5 ) ;4)与正常人相比 ,IBS患者的疾病信念 (P =0 .0 0 0 )、疑病指数 (P=0 .0 17)和疾病确信 (P =0 .0 0 0 )因子分显著增高 ;而与PU相比 ,IBS患者否认心理 (P =0 .0 44 )因子分显著增加 ;5 )多元逐步回归发现 ,消极应对和躯体化与多种患病行为有关。结论　IBS患者存在异常患病行为 ,与应对方式和心理异常有关。Aim To investigate the illness behavior and its correlative factors in patients with irritable bowel syndrome(IBS). Methods Symptom Check List (SCL 90), Coping Style Questionnaire, Social Supports Questionnaire and Illness Behavior Questionnaire were applied to evaluate 41 patients with IBS, compared with that in health controls and peptic ulcer(PU) patients. Results 1)IBS have higher scores of depression(P =0.020)and anxiety(P=0.016) in SCL 90 than that in HC, and IBS also have higher scores of obsessive symptom (P=0.037), depression(P=0.045) and psychiatrist((P =0.028) than that in PU;2) IBS have a higher score of negative coping style than that in HC(P=0.010)and PU patients(P=0.045); There is significantly difference between IBS and HC in the coping style for fancying and withdrawal(P<0.05), and there is significantly difference between IBS and PU in the coping style for withdrawal(P<0.05);3) The score of subjectivity of IBS significantly lower than that in HC(P<0.05). However, the total score of social support is significantly higher in PU patients than that in IBS patients(P<0.05);4) The scores of disease conviction(P=0.000), wondering index(P=0.017) and disease assurance(P=0.000) of IBS patients are higher than that in HC respectively, the score of denial(P=0.044) of IBS is higher than that in PU;5) Multivariate analyses revealed the significant relationship between negative coping style, somatization and many illness behaviors. Conclusions IBS have abnormal illness behaviors, which is related with bad coping style and abnormal psychology.

关 键 词：肠易激综合征 患病行为 心理测量 

分 类 号：R395.1[哲学宗教—心理学]