摘要
目的:分析病因复杂的慢性湿疹患者的心理卫生状况。方法:于2004-01/2004-06选择解放军沈阳军区总医院皮肤科45例慢性湿疹患者为观察对象(慢性湿疹组),对照组为与慢性湿疹组患者性别、平均年龄、受教育年限相匹配的45位慢性湿疹患者家属。应用症状自评量表进行心理健康状况评估。该量表90个项目,分为躯体化、强迫症状、人际关系、抑郁、焦虑、敌对、恐怖、偏执狂、精神病性、附加因子等10个症状因子,采用1～5级评分。1无、2轻度、3中度、4相当重、5严重。在调查中使用统一的指导语,让两组调查对象对照量表的每一项,根据自己的实际情况做出真实的自我评定,独立完成。组间的差异用t检验分析。结果:慢性湿疹组和对照组均完成量表测试,全部进入结果分析。慢性湿疹患者心理健康水平明显低于对照组,表现在症状自评量表的躯体化、抑郁、焦虑、精神病性、附加因子得分明显高于对照组,差异有显著性[(1.89±0.46),(1.32±0.47),t=5.81,P<0.01];[(1.93±0.47),(1.52±0.48),t=4.09,P<0.01];[(1.80±0.45),(1.43±0.41),t=4.08,P<0.01];[(1.55±0.38),(1.36±0.44),t=2.19,P<0.05];[(1.83±0.50),(1.35±0.40),t=5.03,P<0.01]。结论:慢性湿疹患者心理健康情况差,主要表现在躯体化、抑郁、焦虑、精神病性、附加因子等方面。心理健康状况对慢性湿疹治疗有一定的影响。
AIM： To analyze the mental health status of patients with chronic eczema, which has complex etiological factor. METHODS： Totally 45 patients with chronic eczema, who were treated at Department of Dermatology in General Hospital of Shenyang Military Area Command of Chinese PLA between January and June 2004, were selected as chronic eczema group. Another 45 family members, who matched the patients of chronic eczema group well in sex, average age and educational level, were considered as control group. Their mental health status in both groups was assessed with symptom checklist-90 （SCL-90）, which consisted of 90 items and 10 symptom factors of somatization, obsession-compulsion, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism and additional factor. Each item was scored from 1 to 5, 1 as none, 2 as mild, 3 as moderate, 4 as quite serious, 5 as severe. Under the unified instruction, all the subjects were asked to compare each item of SCL-90, and make self-evaluation independently according to their own condition. Meanwhile, t test was applied for difference between groups. RESULTS： Chronic eczema group and control group, who all completed the test, were involved in the results analysis. The mental health level of patients in chronic eczema group was remarkably lower than that of control group. The scores of somatization, depression, anxiety, psychoticism and additional factor of SCL-90 were obviously higher than those of control group, with the significant difference. [（1.89±0.46）, （1.32±0.47）,t=5.81,P 〈 0.01];[（1.93±0.47）, （1.52±0.48）,t=4.09,P 〈 0.01];[（1.80±0.45）, （1.43 ±0.41）,t =4.08,P 〈 0.01]; [（1.55 ±0.38）, （1.36 ±0.44）,t =2.19,P 〈 0.05]; [（ 1.83±0.50）,（1.35±0.40）, t=5.03,P 〈 0.01] CONCLUSION： The mental health status of patients with chronic eczema is poor, especially in somatization, depression, anxiety, psychoticism and additional factor, and it has certain effect on the treatment
出处
《中国临床康复》
CSCD
北大核心
2006年第2期28-29,共2页
Chinese Journal of Clinical Rehabilitation
