大连市急性闭角型青光眼患者个性心理因素的调查分析

发布时间：2018-03-26 11:05

本文选题：原发性急性闭角型青光眼　切入点：社会心理因素　出处：《大连医科大学》2012年硕士论文

【摘要】：目的：青光眼是全世界范围内的主要致盲性眼病之一。虽然其病因至今尚未完全清楚，但社会心理因素在青光眼的临床诊疗过程中的作用逐渐引起了人们的关注。患者发病前经历的负性生活事件产生的情绪应激是导致青光眼患者发病的重要原因之一，青光眼的发病及复发与精神、情绪等有关，反过来心理情绪的变化又影响了青光眼的治疗。本文通过调查大连市急性闭角型青光眼患者的心理、个性和行为特征，以达到对大连市目前青光眼患者心理状态的一个基本认识，并通过与正常人比较，分析原发性急性闭角型青光眼(PACG)患者的心理、个性和行为特征及其与疾病的关系。方法：选取2011年12月-2012年3月在大连医科大学附属第一医院眼科门诊及病房确诊的PACG患者53例作为病例组，健康体检者55例作为对照组。对53例PACG患者和55例健康体检者分别运用症状自评量表(SCL-90)，生活事件量表（LES），艾森克个性间卷(EPQ)和A型行为问卷(TABQ)进行调查评估。结果：(1)SCL-90评分比较，，青光眼组的躯体化、强迫、人际关系、抑郁、焦虑、恐怖、偏执、精神病性等症状因子评分和SCL-90总分均明显高于对照组(P0.01)。(2) A型行为问卷测评结果，青光眼组TH量表得分高于正常组，有明显差异，TH+CH和CH得分两组间无明显差异。(3)艾森克个性问卷中青光眼组的精神质(P)、神经质或情绪(N)得分明显高于对照组(P 0.05)，而内外向、掩饰两项得分青光眼与对照组无显著性差异。(4) LES量表结果分析发现，青光眼组在家庭事件、社会及其他事件、生活事件总分以及压力反应总分方面得分均高于对照组，差异具有统计学意义（P＜0.05），而在工作学习事件和经济事件方面得分差异不显著。(5)社会因素及个性特征与心理健康水平的相关性分析:年龄和文化与躯体化症状(fl)成正相关,家庭满意度与与躯体化症状(fl)成负相关,职业和家庭满意度与人际关系敏感(f3)成负相关,神经质或情绪(N)与抑郁(f4)成正相关，家庭满意度与焦虑(f5)成负相关。结论：社会心理因素、个性与原发性急性闭角型青光眼有明确的联系，青光眼患者主要表现为A型性格，患者的精神性和神经质倾向人格特征与闭角型青光眼发病密切相关。
[Abstract]:Objective: glaucoma is one of the major blinding eye diseases worldwide. However, the role of psychosocial factors in the clinical diagnosis and treatment of glaucoma has gradually attracted people's attention. Emotional stress caused by negative life events before onset of glaucoma is one of the important reasons leading to the onset of glaucoma. The onset and recurrence of glaucoma are related to mental and emotional factors. In turn, the changes of psychological emotions affect the treatment of glaucoma. This paper investigates the psychological, personality and behavioral characteristics of patients with acute angle-closure glaucoma in Dalian. In order to reach a basic understanding of the psychological state of current glaucoma patients in Dalian, and to analyze the psychological, personality and behavioral characteristics of patients with primary acute angle-closure glaucoma (PACGG) and their relationship with diseases through comparison with normal persons. Methods: from December 2011 to March 2012, 53 PACG patients were selected from the first affiliated Hospital of Dalian Medical University as the case group. A total of 53 PACG patients and 55 healthy controls were investigated with SCL-90, life events scale, Eysenck personality test (EPQ) and type A behavior questionnaire (TABQ). Results the scores of somatization, obsessive-compulsion, interpersonal relationship, depression, anxiety, phobia, paranoid ideation, psychosis and total score of SCL-90 in the glaucoma group were significantly higher than those in the control group (P 0.01). The score of th scale in glaucoma group was higher than that in normal group, and there was no significant difference in th Ch and Ch scores between the two groups. There was no significant difference between the two groups. The scores of psychosis, neuroticism or mood in Eysenck personality questionnaire were significantly higher than those in the control group (P 0.05, P 0.05), while the scores in and out of the glaucoma group were higher than those in the control group (P 0.05). The results of LES scale showed that the scores of family events, social and other events, total scores of life events and total scores of stress response in glaucoma group were higher than those in control group. The difference was statistically significant (P < 0.05), but there was no significant difference in scores of work and study events and economic events (P < 0.05). Analysis of the correlation between social factors and personality characteristics and mental health level: age and culture were positively correlated with somatization symptoms. Family satisfaction was negatively correlated with somatization, career and family satisfaction and interpersonal sensitivity f3), neuroticism or emotion NN) was positively correlated with depression f4), family satisfaction was negatively correlated with anxiety f5). Conclusion: psycho-social factors, personality and primary acute angle closure glaucoma are closely related to the onset of angle closure glaucoma. The main manifestations of glaucoma patients are type A personality. The mental and neurotic personality characteristics of the patients are closely related to the onset of angle closure glaucoma.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R775.2

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