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山东大学学报(医学版) ›› 2013, Vol. 51 ›› Issue (2): 104-.

• 医学心理学 • 上一篇    下一篇

脑卒中偏瘫患者D型人格特征

陈瑨1,祁珍华1,江虹1,张灿灿1,江平胤2,党红梅2,赵鹏2,张红静1    

  1. 1. 山东大学医学院医学心理研究所,  济南 250012;  2. 山东省残疾人第一康复医院神经内科, 济南 250022
  • 收稿日期:2012-09-20 出版日期:2013-02-10 发布日期:2013-02-10
  • 作者简介:陈瑨(1987- ),女,硕士研究生,主要从事医学心理学研究。 E-mail:stonejinzi@yahoo.com.cn

Type D personality in patients with hemiplegic stroke in the rehabilitation phase

CHEN Jin1,  QI Zhen-hua1, JIANG Hong1, ZHANG Can-can1, JIANG Ping-yin2, DANG Hong-mei2, ZHAO Peng2, ZHANG Hong-jing1   

  1. 1.Institute of Medical Psychology, School of Medicine, Shandong University,  Jinan 250012, China;
    2. Department of Neurology, the First Rehabilitation Hospital of Shandong Province,  Jinan 250022, China
  • Received:2012-09-20 Online:2013-02-10 Published:2013-02-10
  • Contact: 张红静,女,副教授,主要从事健康心理学及儿童、大学生心理健康研究。E-mail:zhjing@sdu.edu.cn

摘要:

目的   探讨脑卒中偏瘫患者的人格特质,分析其人格特质影响的相关因素。方法   采用A型人格问卷、D型人格量表、抑郁自评量表、焦虑自评量表和乐观量表对77例脑卒中偏瘫患者于入院后第2天进行调查,以58例正常人作为对照。结果   脑卒中患者组A型人格和 D型人格比例、TAS-C总分、时间紧迫感、敌意竞争性与DS14总分、消极情感和社交抑制均显著高于对照组(P<0.01)。A型人格、D型人格及消极情感、社交抑制都是脑卒中发病的危险因素(P<0.01)。时间紧迫感、敌意竞争性、消极情感与焦虑及消极情感、社交抑制与抑郁均呈正相关 (P<0.05,P<0.01),消极情感、社交抑制与乐观度呈负相关(P<0.05,P<0.01)。回归分析表明:消极情感与焦虑、抑郁相关,时间紧迫感与焦虑相关,社交抑制与乐观度相关(P<0.01)。结论   D型人格是脑卒中发病的危险因素,并且与焦虑、抑郁情绪密切相关。

关键词: 脑卒中;偏瘫;A型人格;D型人格;康复期 

Abstract:

Objective   To investigate the distribution of type A  personality  and type D personality in patients with hemiplegic stroke in the rehabilitation phase, and the influence factors of the two kinds of personalities in stroke. Methods   77 patients were investigated with the Type A  Scale-Chinese(TAS-C) , Type D Scale-14(DS14), Self-Rating Depression Scale(SDS), Self-Rating Anxiety Scale(SAS)  and Life Orientation Test-Revised(LOT-R) on the second day of admission to judge the personality and mood states of the patients. The correlation was analyzed. 58 healthy individuals were used as the control. Results   The detection rates of type A personality were 70.1% in the study group and 24.1% in the control group, while the detection rates of type D personality were 67.5% in the study group and 25.9% in the control group,and the D&A were 44.2% in the study group and 8.6% in the control group (all P<0.01). The scores of the study group were significantly higher compared with the control group in Type A score, TH, CH and Type D score,  NA, SI (all P<0.01).The regression analysis showed that type A personality, type D personality and NA,SI were risk factors of the stroke( all P<0.01). TH,CH and NA were positively correlated with SAS total scores(r=0.25-0.34;all P<0.05). NA and SI were negatively correlated with the scores LOT-R( all P<0.05), and positively correlated with SDS total scores(all P<0.05). The score of NA had significant correlation with depression and anxiety(P<0.01). The scores of TH were correlated with the optimism(P<0.05). The scores of SI were correlated with SAS total scores(P<0.01). Conclusion   Type D personality is closed to the hemiplegic stroke, and could incur an increased risk of anxiety and depression.

Key words: Stroke; Hemiplegia; Type A Scale-Chinese; Type D personality; Rehabilitation period

中图分类号: 

  • R395.1
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