惊恐障碍与急性心肌梗死患者的心理社会因素研究

发布时间：2018-04-23 20:09

本文选题：惊恐病 + 心肌梗死　；参考：《中国全科医学》2016年13期

【摘要】：目的探讨惊恐障碍与急性心肌梗死患者的心理社会因素特点,并分析二者的区别,以期为二者的鉴别、合理治疗提供理论依据。方法选取2012年1月—2014年11月就诊于福州神经精神病防治院的惊恐障碍患者和福建省立医院心内科的急性心肌梗死患者,按年龄、性别等进行1∶1配对对照分为两组(即惊恐障碍组和急性心肌梗死组),共匹配成功48对。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活事件量表(LES)、社会支持评定量表(SSS)对两组患者的心理社会因素进行评估,并进行比较分析。结果两组正性生活事件得分间差异无统计学意义(P0.05);而惊恐障碍组负性生活事件得分及总分、焦虑得分均高于急性心肌梗死组,抑郁得分低于急性心肌梗死组,差异有统计学意义(P0.05)。两组客观支持得分及总分间差异无统计学意义(P0.05);而惊恐障碍组主观支持、支持利用度得分低于急性心肌梗死组,差异有统计学意义(P0.05)。结论惊恐障碍和急性心肌梗死患者发病前1年内均受到心理社会因素的影响;惊恐障碍患者受到的负性生活事件更多,且主观支持感及社会支持利用度差,焦虑情绪较重;急性心肌梗死患者抑郁情绪明显,但更善于利用社会支持。
[Abstract]:Objective to explore the characteristics of psycho-social factors in patients with panic disorder and acute myocardial infarction, and to analyze the differences between them, in order to provide a theoretical basis for the differentiation and rational treatment of panic disorder and acute myocardial infarction. Methods from January 2012 to November 2014, patients with panic disorder in Fuzhou Neuropsychiatric Hospital and patients with acute myocardial infarction in Department of Cardiology, Fujian Provincial Hospital were selected according to their age. The 1:1 matched control group was divided into two groups: panic disorder group and acute myocardial infarction group. Self-rating anxiety scale (SAS), Self-Rating Depression scale (SDS), Life events scale (Les) and Social support scale (SSS) were used to evaluate the psycho-social factors of the two groups. Results there was no significant difference in the scores of positive life events between the two groups (P 0.05), while the scores of negative life events and total scores of anxiety in the panic disorder group were higher than those in the acute myocardial infarction group, and the scores of depression were lower than those in the acute myocardial infarction group. The difference was statistically significant (P 0.05). There was no significant difference in objective support score and total score between the two groups, but the score of support utilization in panic disorder group was lower than that in acute myocardial infarction group (P 0.05). Conclusion the patients with panic disorder and acute myocardial infarction were affected by psychological and social factors within one year before the onset of the disease, the patients with panic disorder suffered more negative life events, and the subjective sense of support and the utilization of social support were poor, and the anxiety was more serious. Depression was evident in patients with acute myocardial infarction, but it was better at making use of social support.
【作者单位】：福州神经精神病防治院;福建省立医院;
【分类号】：R542.22;R749.5

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