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背景:传染性非典型性肺炎(severeacuterespiratorysyndrome,SARS)作为一种应激源,给人们带来了较大的心理压力。在这场危机中,SARS患者更是处于高度的心理应激状态。心理学、病原学等与SARS的发病的相关关系仍处于研究探索阶段。心理因素在SARS病程中的作用如何呢?目的:了解SARS恢复期患者的心理状态,为解决这些患者的心理问题提供依据。设计:以患者为研究对象的抽样调查。单位:中国中医研究院广安门医院气功康复科。对象:2003-04/06北京老年病医院三病区以及其他病区的部分恢复期SARS患者(病情得到控制,趋向好转)。干预:采用症状自评量表(SCL-90)和特质应对问卷(TCSQ)对恢复期SARS患者进行心理评定。主要观察指标:①SARS恢复期患者的心理状态。②不同性别、年龄、文化程度SARS恢复期患者SCL-90评定差异。结果:①SARS恢复期患者的躯体化症状明显高于常模(P<0.05),而强迫、人际关系敏感、敌对和偏执因子都要明显地低于常模(P<0.05)。②女性SARS患者躯体化和焦虑水平明显高于常模,而人际关系敏感和偏执水平较常模低。男性患者除躯体化和精神病性以外其他因子分都显著低于男性常模。男性SARS患者在SCL-90总分、躯体化症状、焦虑和恐怖得分低于女性,差异均有显著性意义。③从各年龄组的因子分来看,老年组(50
Background: Severe acute asthma syndrome (SARS), as a source of stress, has brought great psychological pressure to people. In this crisis, SARS patients are more in a state of high psychological stress. Psychology, etiology and other pathogenesis of SARS is still in the research and exploration stage. What is the role of psychological factors in the course of SARS? OBJECTIVE: To understand the psychological status of SARS convalescent patients and provide the basis for solving these patients’ psychological problems. Design: a sample of patients for the study. SETTING: Guang’anmen Hospital, China Academy of Traditional Chinese Medicine Qigong Rehabilitation Branch. PARTICIPANTS: Part of 2003 SARS patients undergoing convalescence (control of disease, tendency to improve) in Beijing Geriatric Hospital San-ward and other wards from 2003-04 / 06. Interventions: Psychological assessment of patients with convalescent SARS was conducted using the Self-rating Symptom Inventory (SCL-90) and the Trait Counseling Questionnaire (TCSQ). MAIN OUTCOME MEASURES: (1) Psychological status of patients in recovery period of SARS. (2) Difference of SCL-90 in SARS convalescent patients with different sex, age and education level. Results: ① Somatic symptoms in patients with SARS convalescence were significantly higher than those in normotensive subjects (P <0.05), while forced, interpersonal sensitivity, hostility and paranoid factors were all significantly lower than those in normotensive subjects (P <0.05). ② The levels of somatization and anxiety in women with SARS were significantly higher than those in norm and the interpersonal sensitivity and paranoid were lower than the norm. Male patients in addition to somatization and psychotic factors other factors were significantly lower than the norm of men. Male SARS patients in the SCL-90 total score, somatization symptoms, anxiety and terror scores lower than women, the difference was significant. ③ From the factor scores of each age group, the elderly group (50