天津医药
天津醫藥
천진의약
TIANJIN MEDICAL JOURNAL
2010年
2期
102-104
,共3页
张玉琬%李强%钟珊珊%王进
張玉琬%李彊%鐘珊珊%王進
장옥완%리강%종산산%왕진
湿疹%焦虑%抑郁%瘙痒症%回归分析
濕疹%焦慮%抑鬱%瘙癢癥%迴歸分析
습진%초필%억욱%소양증%회귀분석
eczema%anxiety%depression%pruritus%regression analysis
目的:探讨慢性湿疹患者焦虑、抑郁情绪特点及其影响因素.方法:采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、艾森克人格问卷(EPQ)对105例慢性湿疹患者进行问卷凋查评定;并用SAS、SDS对92例健康者(对照组)进行问卷凋查评定;采用视觉模拟评分法(VAS)、湿疹面积及严重度指数(EASI)分别对慢件湿疹患者的瘙痒和皮损严重程度评分.结果:慢性湿疹患者的SAS、SDS评分高于对照组(均P<0.01);多元逐步回归分析显示,影响焦虑程度的因素依次为,瘙痒严重程度、累及四肢及躯干、累及阴部及乳房和性格内-外向;影响抑郁程度的因素依次为,瘙痒严重程度、屈服应对方式、累及四肢及躯干和性别.结论:慢性湿疹患者存在明显的焦虑、抑郁情绪,并与心理社会因素、瘙痒及皮损严重程度密切相关.
目的:探討慢性濕疹患者焦慮、抑鬱情緒特點及其影響因素.方法:採用焦慮自評量錶(SAS)、抑鬱自評量錶(SDS)、艾森剋人格問捲(EPQ)對105例慢性濕疹患者進行問捲凋查評定;併用SAS、SDS對92例健康者(對照組)進行問捲凋查評定;採用視覺模擬評分法(VAS)、濕疹麵積及嚴重度指數(EASI)分彆對慢件濕疹患者的瘙癢和皮損嚴重程度評分.結果:慢性濕疹患者的SAS、SDS評分高于對照組(均P<0.01);多元逐步迴歸分析顯示,影響焦慮程度的因素依次為,瘙癢嚴重程度、纍及四肢及軀榦、纍及陰部及乳房和性格內-外嚮;影響抑鬱程度的因素依次為,瘙癢嚴重程度、屈服應對方式、纍及四肢及軀榦和性彆.結論:慢性濕疹患者存在明顯的焦慮、抑鬱情緒,併與心理社會因素、瘙癢及皮損嚴重程度密切相關.
목적:탐토만성습진환자초필、억욱정서특점급기영향인소.방법:채용초필자평량표(SAS)、억욱자평량표(SDS)、애삼극인격문권(EPQ)대105례만성습진환자진행문권조사평정;병용SAS、SDS대92례건강자(대조조)진행문권조사평정;채용시각모의평분법(VAS)、습진면적급엄중도지수(EASI)분별대만건습진환자적소양화피손엄중정도평분.결과:만성습진환자적SAS、SDS평분고우대조조(균P<0.01);다원축보회귀분석현시,영향초필정도적인소의차위,소양엄중정도、루급사지급구간、루급음부급유방화성격내-외향;영향억욱정도적인소의차위,소양엄중정도、굴복응대방식、루급사지급구간화성별.결론:만성습진환자존재명현적초필、억욱정서,병여심리사회인소、소양급피손엄중정도밀절상관.
Objective:To investigate the anxious and despondent emotion in patients suffering from chronic eczema,and its influence factor thereof.Methods:The patients suffering from chronic eczema were investigated with self-rating anxiety scale(SAS),self-rating depression scale(SDS)and evsenck personality questionnaire(EPQ).The healthy persons were investigated with SAS and SDS.The severity of pruritus and skin rash in patients suffering from chronic eczema was assessed by visual analogue scale (VAS)and eczema area severity index (EASI).Results:The scores of SAS and SDS were significantly higher in patients with chronic eczema than that of healthy persons(P<0.01).The multivariate stepwise regression analysis result demonstrated that the factors influencing anxious emotion were in turn severity of pruritus,disease position and stability of emotion introverted-extroverted disposition.The factors influencing despondent emotion were in turn disease position,course of disease,concealing,stability of emotion and severity of pruritus.Conclusion:There was obvious anxious and despondent emotion in patients with chronic eczema.These emotions were closely correlated with psychosocial factors,severity of pruritus and skin rash.