CAJ | 학술논문

目的探索应对方式、个性特征对Graves病(GD)发病的影响,为预防Graves病提供流行病学依据.方法采用特质应对方式问卷(TCSQ)、艾森克人格问卷(EPQ)中文版对临床收集的581名Graves病患者及社区收集的800名健康对照收集资料,应用非条件logistic逐步回归分析进行整体分析,并按照年龄、性别、文化程度进行分层分析,探索应对方式与个性特征对Graves病发病的影响.结果整体分发现消极应对方式(OR=1.068,P=0.ooo)、掩饰性(OR=1.121,P=0.000)和内外向(OR=1.089,P=0.005)均为Graves病发病危险因素;按照性别、年龄和文化程度分层分析,其结果与整体分析结果基本一致,同时发现积极应对方式为Graves病发病保护因素(各分层分析中OR<1.000,P<0.05),神经质(OR>1.000,P<0.05)为部分人群Graves病发病危险因素.结论采取积极应对方式和针对性调整个性特征,可以有效预防Graves病发病.
목적 탐색응대방식、개성특정대Graves병(GD)발병적영향,위예방Graves병제공류행병학의거.방법 채용특질응대방식문권(TCSQ)、애삼극인격문권(EPQ)중문판대림상수집적581명Graves병환자급사구수집적800명건강대조수집자료,응용비조건logistic축보회귀분석진행정체분석,병안조년령、성별、문화정도진행분층분석,탐색응대방식여개성특정대Graves병발병적영향.결과 정체분발현소겁응대방식(OR=1.068,P=0.ooo)、엄식성(OR=1.121,P=0.000)화내외향(OR=1.089,P=0.005)균위Graves병발병위험인소;안조성별、년령화문화정도분층분석,기결과여정체분석결과기본일치,동시발현적겁응대방식위Graves병발병보호인소(각분층분석중OR<1.000,P<0.05),신경질(OR>1.000,P<0.05)위부분인군Graves병발병위험인소.결론 채취적겁응대방식화침대성조정개성특정,가이유효예방Graves병발병.
Objective To explore the role of coping styles and personalities in the etiology of Graves' disease (GD). Methods All participants (581 patients and 800 normal controls) completed the general information questionnaires,trait coping style questionnaires(TCSQ) and eysenck personality questionnaires revised,short scale for Chinese(EPQ-RSC). Basic characteristics of all subjects were documented, and logistic regression analysis was used to analyze the role of coping styles and personality in etiology of GD. Results The negative coping style(OR = 1.068,P=0.000) ,concealing character(OR = 1. 121, P=0.000) and internal and external personality (OR = 1.089, P = 0.005) neurotic personality (OR > 1.000, P< 0.05) were risk factors of GD( OR = 1. 162, P = 0.000) ,positive coping style was protective factor of GD( OR < 1.000, P<0.05). Conclusion Positive coping style and specific personality adjustment can prevent effectively onset of GD.