中国行为医学科学
中國行為醫學科學
중국행위의학과학
2008年
10期
887-888
,共2页
赵兴蓉%白俊云%李娜%许秀峰
趙興蓉%白俊雲%李娜%許秀峰
조흥용%백준운%리나%허수봉
冠心病%D型人格%抑郁%焦虑%应付方式
冠心病%D型人格%抑鬱%焦慮%應付方式
관심병%D형인격%억욱%초필%응부방식
Coronary heart disease%Type D personality%Depression%Anxiety%Coping style
目的 探讨冠心病患者中D型人格者的分布及其应付方式、负性情绪的特点.方法 收集203例冠心病患者为病例组,在普通健康人群选取199例为对照组,采用D型人格量表(DS14)、应付方式问卷、汉密尔顿抑郁量表、汉密尔顿焦虑量表进行评估,并进行统计分析.结果 (1)冠心病组的D型人格者比例(38.9%,25.5%,x2=8.192,P＜0.01)、DS14总分[(21.17±9.52),(19.31±7.30),P＜0.05]、负性情感(NA)评分[(10.35±5.97),(2.32±0.02),P＜0.05]高于对照组,社交抑制(SI)维度评分冠心病组和对照组差异无显著性[(10.82±4.99),(10.21±3.94),P＞0.05].(2)D型人格者在应付方式问卷中解决问题维度评分低于非D型人格者(P＜0.01),自责、幻想、退避、合理化维度评分高于非D型人格者(P＜0.01).(3)冠心病组中D型人格者合并抑郁、焦虑的比例和评分高于非D型人格者.结论 D型人格者较多运用消极的应付方式,较少运用积极的应付方式,更多体验焦虑和抑郁等负性情绪.
目的 探討冠心病患者中D型人格者的分佈及其應付方式、負性情緒的特點.方法 收集203例冠心病患者為病例組,在普通健康人群選取199例為對照組,採用D型人格量錶(DS14)、應付方式問捲、漢密爾頓抑鬱量錶、漢密爾頓焦慮量錶進行評估,併進行統計分析.結果 (1)冠心病組的D型人格者比例(38.9%,25.5%,x2=8.192,P＜0.01)、DS14總分[(21.17±9.52),(19.31±7.30),P＜0.05]、負性情感(NA)評分[(10.35±5.97),(2.32±0.02),P＜0.05]高于對照組,社交抑製(SI)維度評分冠心病組和對照組差異無顯著性[(10.82±4.99),(10.21±3.94),P＞0.05].(2)D型人格者在應付方式問捲中解決問題維度評分低于非D型人格者(P＜0.01),自責、幻想、退避、閤理化維度評分高于非D型人格者(P＜0.01).(3)冠心病組中D型人格者閤併抑鬱、焦慮的比例和評分高于非D型人格者.結論 D型人格者較多運用消極的應付方式,較少運用積極的應付方式,更多體驗焦慮和抑鬱等負性情緒.
목적 탐토관심병환자중D형인격자적분포급기응부방식、부성정서적특점.방법 수집203례관심병환자위병례조,재보통건강인군선취199례위대조조,채용D형인격량표(DS14)、응부방식문권、한밀이돈억욱량표、한밀이돈초필량표진행평고,병진행통계분석.결과 (1)관심병조적D형인격자비례(38.9%,25.5%,x2=8.192,P＜0.01)、DS14총분[(21.17±9.52),(19.31±7.30),P＜0.05]、부성정감(NA)평분[(10.35±5.97),(2.32±0.02),P＜0.05]고우대조조,사교억제(SI)유도평분관심병조화대조조차이무현저성[(10.82±4.99),(10.21±3.94),P＞0.05].(2)D형인격자재응부방식문권중해결문제유도평분저우비D형인격자(P＜0.01),자책、환상、퇴피、합이화유도평분고우비D형인격자(P＜0.01).(3)관심병조중D형인격자합병억욱、초필적비례화평분고우비D형인격자.결론 D형인격자교다운용소겁적응부방식,교소운용적겁적응부방식,경다체험초필화억욱등부성정서.
Objective To discuss the distribution of type D persons and their characteristics of coping style,negative mood in the patient with coronary heart disease(CHD).Methods 203 patients with CHD,and 196 healthy controls selected from the general population were investigated by the type D Scale-14(DS14),coping style questionnaire,HAMD,HAMA.Results The proportion of type D persons in the CHD patients Was higher than controls(38.9%vs 25.5%,x2=8.192,P＜0.01).CHD patients scored higher on DSl4 and NA than their counterparts in control group(10.35±5.97 vs 2.32±0.02,P＜0.05).There was no significant different between the SI scores of CHD patients and controls(10.82±4.99 vs 10.21±3.94,P＞0.05).Type D persons scored lower on problem-resolving(尸＜0.01),higher on fantasy,blench,rationalization,self-abuse(P＜0.01).Type D persons in the CHD group scored higher on HAMD(P＜0.01)and HAMA(P＜0.01)than the non-type D persons.Conclusion Typo D persons use the positive coping style less than non-type D persons,and use the negative coping style more than non-type D persons.Type D persons experienced depression and anxiety more.
