慢性胃炎患者抑郁焦虑状态与负性生活事件关系初探

发布时间：2018-06-09 05:28

本文选题：慢性胃炎 + 抑郁焦虑　；参考：《山西医科大学》2017年硕士论文

【摘要】：目的:探究慢性胃炎患者抑郁、焦虑状态与负性生活事件及生活满意度的关系,探讨慢性胃炎患者心理成熟度与情绪状态的关系,提示大众重视情绪管理,以利心身健康。方法:采用Zung抑郁自评量表(SDS)、焦虑自评量表(SAS)和生活满意度量表(satisfaction with life scale,SWLS)对确诊为慢性胃炎的62例住院患者进行主观感受评定;仔细询问患者在症状出现前是否发生负性生活事件;记录患者一般资料和临床资料。结果:62例慢性胃炎患者的平均SDS标准分52.87±9.61、平均SAS标准分为52.55±9.05,均显著高于中国常模,差异有统计学意义(P0.05);抑郁状态的为38例(61.3%)、焦虑状态的为39例(62.9%),其中抑郁合并焦虑状态的为25例(40.3%),多数属于轻度到中度,重度极少;有负性生活事件的和无负性生活事件的患者焦虑状态有差异(P0.05),40例(64.5%)发病前有负性生活事件发生,导致情绪不良,并不能有效调节,其中22例(55%)为家庭问题;不同生活满意度的慢性胃炎患者抑郁及焦虑程度存在差异(P0.05);不同病程的慢性胃炎患者抑郁焦虑状态无统计学差异;女性、农民、文化程度低的患者有更明显的情绪问题。结论:慢性胃炎患者普遍存在抑郁、焦虑异常心理状态;慢性胃炎患者负性生活事件和生活满意度与抑郁、焦虑的发生密切相关;病程对慢性胃炎患者抑郁焦虑状态无显著影响;不同性别、职业、文化程度的慢性胃炎患者抑郁、焦虑存在差异。
[Abstract]:Objective: to explore the relationship between depression, anxiety and negative life events and life satisfaction in patients with chronic gastritis, and to explore the relationship between psychological maturity and emotional state in patients with chronic gastritis. Methods: 62 inpatients with chronic gastritis were assessed by self rating depression scale (SDS), self rating anxiety scale (SAS) and life satisfaction with life scale (SSS). Ask carefully if negative life events occur before symptoms occur; record general and clinical data. Results the average SDS standard score of 62 patients with chronic gastritis was 52.87 卤9.61, and the average SAS standard was 52.55 卤9.05, which was significantly higher than that of Chinese norm. The difference was statistically significant (P 0.05), 38 cases with depression and 39 cases with anxiety, 25 cases with depression and anxiety were 40.3%, most of them were mild to moderate and severe. There was a difference between the anxiety state of patients with negative life events and those without negative life events. There were 40 cases (64.5%) with negative life events before onset, which led to bad mood and could not be effectively regulated. Among them, 22 cases (55 555) were family problems. There were significant differences in depression and anxiety in patients with chronic gastritis with different life satisfaction; depression and anxiety in patients with chronic gastritis with different course of disease had no statistical difference; women, farmers and patients with low education had more obvious emotional problems. Conclusion: depression and anxiety are common in patients with chronic gastritis, negative life events and life satisfaction are closely related to depression and anxiety in patients with chronic gastritis. The course of disease had no significant effect on depression and anxiety in patients with chronic gastritis, but there were differences in depression and anxiety among patients with chronic gastritis with different gender, occupation and education level.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R573.3

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