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山东大学学报(医学版) ›› 2011, Vol. 49 ›› Issue (3): 120-123.

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心血管疾病患者心理特征研究

心血管疾病患者心理特征研究   

  1. 山东大学 1.齐鲁医院心血管内科, 济南 250012; 2.公共卫生学院流行病与卫生统计学研究所, 济南 250012
  • 收稿日期:2010-11-15 出版日期:2011-03-10 发布日期:2011-03-10
  • 通讯作者: 刘同涛,教授,主要从事冠心病的研究。E-mail:liutongtao@medmail.com.cn
  • 作者简介:刘同涛,教授,主要从事冠心病的研究。E-mail:liutongtao@medmail.com.cn

Psychological characteristics of patients with cardiovascular diseases

LIU Zhi1, LIU Tong-tao1, JIA Chong-qi2   

  1. 1. Department of Cardiovascular Medicine, Qilu Hospital of Shandong University, Jinan 250012, China;
    2. Institute of Epidemiology and Health Statistics, School of Public Health, Shandong University, Jinan 250012, China
  • Received:2010-11-15 Online:2011-03-10 Published:2011-03-10

摘要:

目的     探讨心血管疾病患者心理特征,为其心理治疗提供依据。方法     采用自行设计的一般情况问卷,以及一般自我效能感量表(GSES)、特质应对方式量表(TCSQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)分别对126例心血管疾病患者(病例组)和143例健康者(对照组)进行评定。结果    年龄、体质量指数(BMI)病例组高于对照组,体力活动情况低于对照组(P<0.05);消极应对评分、焦虑评分、抑郁评分病例组均高于对照组(P<0.05)。主成分Logistic回归分析结果表明,年龄、BMI、焦虑、抑郁与心血管疾病呈正相关,而消极应对呈边缘显著(P=0.056)。结论     心血管疾病患者较正常人群存在较为严重的焦虑、抑郁等负性情绪,面对困难和挫折时,更加倾向于采取消极应对方式;消极应对、焦虑、抑郁、年龄、BMI是心血管疾病的危险因素。

关键词: 心理因素;心血管疾病;焦虑;抑郁;应对方式

Abstract:

Objective    To investigate psychological characteristics of patients with cardiovascular diseases to provide the basis for psychotherapy. Methods    126 patients (the case group) and 143 healthy subjects(the control group) were assessed by the selfcommand generalized information questionnaire, general self-efficacy scale (GSES), trait coping style questionnaire (TCSQ), selfrating anxiety scale (SAS) and selfrating depression scale (SDS). Results    Compared with the control group, the case group had characteristics of older age, increased body mass index (BMI), and decreased physical activity(P<0.05). The scores of negative coping styles, anxiety and depression in the case group were higher than those in the control group(P<0.05). Results of logistic regression analysis demonstrated that there was a significant positive association of age, BMI, anxiety and depression with cardiovascular diseases(P<0.05). Negative coping styles were nearly significantly associated with cardiovascular diseases(P=0.056).  Conclusion    Patients with cardiovascular diseases have obvious anxiety and depression, more likely to employ negative coping styles in frustration. Negative coping styles, anxiety, depression, age and BMI are risk factors for cardiovascular diseases.

Key words: Psychological factor; Cardiovascular diseases; Anxiety; Depression; Coping style

中图分类号: 

  • R541
[1] 刘智1,刘同涛1,贾崇奇2. 心血管疾病患者心理特征研究[J]. 山东大学学报(医学版), 2011, 49(3): 120-123.
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