慢性乙型肝炎患者行为特征中的神经质、情绪及人格稳定性  

Characteristics of psyche, behavior and personality in patients with chronic hepatitis B

作　　者：李桂香[1] 毛乾国[1] 段春青[1] 

机构地区：[1]新乡医学院第一附属医院感染疾病科,河南省卫辉市453100

出　　处：《中国临床康复》2004年第9期1620-1621,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:探讨慢性乙型肝炎患者的精神、行为和个性特征,寻求进行干预的可能性。 方法:68例慢性乙型肝炎患者按年龄、性别、职业、文化程度和婚姻状态与正常人(对照组)1:1配对,对两组对象进行临床精神卫生症状自评量表(SCL-90)、艾森克个性问卷(EPQ)和A型行为问卷测试。 结果:SCL-90量表评估中,慢性乙型肝炎患者的躯体化(1.66±0.48)、人际关系(1.89±0.56)、抑郁(1.91±0.49)、焦虑(1.83±0.46)、偏执(1.71±0.52)和精神病性(1.63±0.45)等因子评分均明显高于对照组t=2.178～2.309,P均<0.05)。EPQ问卷测评中,慢性乙型肝炎患者的精神病性、神经质或情绪和人格稳定性等维度评分均明显高于对照组(t=2.137～2.232,P均<0.05)。A型行为问卷调查中,慢性乙型肝炎患者的时间紧迫感特征、争强好胜和时间紧迫感特征+争强好胜因子得分明显高于对照组(t=2.132～2.348,P均<0.05)。 结论:慢性乙型肝炎患者存在明显的精神心理、行为和个性方面的异常。AIM: To explore psychological, behavioral and personality characteristics in patients with chronic hepatitis B(CHB), and to discuss the possiblity of psychological intervention. METHODS: Totally 68 patients with CHB were matched with normal sub-jects(control group) by the same age, sex, profession, cultural level and marriage state at the ratio of 1 to 1. All the patients were evaluated by clinical mental health symptom checklist-90 (SCL-90), Eysenck personality questionnaire (EPQ) and type A characteristic questionnaire (ACQ). RESULTS: In SCL-90 evaluation, somatization(1. 66 ±0. 48), interpersonal relation (1. 89 ±0. 56), depression(1.91±0.49), anxiety(1. 83 ± 0. 46), partial(1. 71 ±0. 52) and psychosis(1. 63 ±0. 45) in patients with CHB were significantly higher than those in the control group (t = 2. 178 -2. 309, P < 0. 05) . The scores of psychosis, neuroticism, emotion or personality stability evaluated by EPQ in patients with CHB were obviously higher than those in the control group( t = 2. 132 -2. 348, P < 0. 05). CONCLUSION: There is obvious abnormality in mental, behavioral characteristics and personality in patients with CHB.

关 键 词：慢性乙型肝炎 行为特征 神经质 情绪 人格 稳定性 临床精神卫生症状自评量表 

分 类 号：R512.62[医药卫生—内科学] R395[医药卫生—临床医学]