【目的】 研究中学生漏斗胸患者的心理健康水平与人格特征的关系,为建立该病的生理-心理-社会综合治疗方案提供依据。 【方法】 选取2009年7月-2011年5月期间入北京军区总院胸外科诊治且心理问卷有效的中学生漏斗胸患者57例,对其症状自评量表(SCL-90)和艾森克个性问卷(EPQ)测查结果进行常模对照与相关分析。 【结果】 患者SCL-90中的躯体化、人际敏感、抑郁、焦虑、敌对5个因子分显著高于常模(P<0.05),EPQ中男女生均在内外向(E)与神经质(N)2个因子分显著高于常模(P<0.05);EPQ中N与SCL-90各因子均呈正相关,E与躯体化、强迫、人际关系、抑郁、焦虑、偏执等6项因子呈负相关,P与人际关系、抑郁呈正相关,L与强迫、焦虑、敌对、恐怖、偏执等5项因子呈负相关。 【结论】 漏斗胸患者的心理健康水平较低,其人格特征多为外倾-不稳定型;术前心理测验对于制定合理治疗方案具有重要意义。
Abstract
【Objective】 To learn the correlation between the level of the mental health and personality character of students with pectus excavatum,and to supply important basis of comprehensive treatment scheme of Biopsychosocial. 【Methods】 The data extracted from 57 voluntary patients by Symptom Checklist 90(SCL-90)and Eysenck Personality Questionnaire (EPQ) effectively in department of thoracic surgery of our hospital between 2009~2011,and it was compared with Chinese norm for students and analyzed with linear correlation. 【Results】 The scores of 5 factors including somatisation,interpersonal sensitivity,depression,anxiety and hostility in SCL-90 were higher than those of norm(P<0.05).The score of Neuroticism(N) and Extraversion(E)in EPQ was higher than that of the norm for students(P<0.05).The N of EPQ was positively correlated with all factors in SCL-90,the E was negatively correlated with 6 factors including somatisation,compulsion,interpersonal sensitivity,depression,anxiety and paranoia,the P was positively correlated with 2 factors including interpersonal sensitivity and depression,the L was negatively correlated with 5 factors including compulsion,anxiety,hostility,panic and paranoia. 【Conclusions】 The level of mental health of patients with pectus excavatum is worse than those of healthy people,and the character of neuroticism and extraversion may be its personality background.So it is important for the patients making psychological test before the operation to develop a reasonable treatment.
关键词
漏斗胸 /
心理健康 /
人格特征
Key words
pectus excavatum /
mental health /
personality
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基金
国际科技合作与交流项目(2010DFA31250)