中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2013年
4期
262-266
,共5页
付文%吴勇妹%郑磊磊%蒋正言
付文%吳勇妹%鄭磊磊%蔣正言
부문%오용매%정뢰뢰%장정언
体格检查%焦虑%抑郁%心理测定学%生理指标
體格檢查%焦慮%抑鬱%心理測定學%生理指標
체격검사%초필%억욱%심리측정학%생리지표
Physical examination%Anxiety%Depression%Psychometrics%Physical indicators
目的 评估体检人群心理健康状况,探索心理指标与部分生理指标的相关性,筛选影响焦虑、抑郁的生理相关因素.方法 以3885例体检人群为研究对象,采用焦虑自评量表、抑郁自评量表、症状自评量表评估心理状况,选取体质指数(BMI)、收缩压(SBP)、舒张压(DBP)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、血清游离三碘甲腺原氨酸(FT3)、血清游离甲状腺素(FT4)、促甲状腺激素(TSH)为研究的生理指标.用Pearson相关性分析研究心理指标与生理指标的相关性；Logistic回归分析筛选影响焦虑、抑郁的生理相关因素.结果 体检人群女性焦虑、抑郁阳性率高于男性；小学及以下文化程度的人群焦虑、抑郁阳性率最高,随着学历的增高,焦虑阳性率逐渐降低.焦虑、抑郁评分与BMI、SBP、DBP、FT3、FT4之间存在负相关(r=-0.037 ～-0.092;P＜0.05).Logistic 回归分析提示LDL-C、FT3、FT4与抑郁评分有关,而SBP、FT3、FT4与焦虑评分有关.结论 体检人群中,焦虑、抑郁情绪与性别、学历有关,且SBP、FT3、FT4对焦虑情绪发生有保护作用,而LDL-C、FT3、FT4对抑郁情绪发生有保护作用.
目的 評估體檢人群心理健康狀況,探索心理指標與部分生理指標的相關性,篩選影響焦慮、抑鬱的生理相關因素.方法 以3885例體檢人群為研究對象,採用焦慮自評量錶、抑鬱自評量錶、癥狀自評量錶評估心理狀況,選取體質指數(BMI)、收縮壓(SBP)、舒張壓(DBP)、三酰甘油(TG)、低密度脂蛋白膽固醇(LDL-C)、血清遊離三碘甲腺原氨痠(FT3)、血清遊離甲狀腺素(FT4)、促甲狀腺激素(TSH)為研究的生理指標.用Pearson相關性分析研究心理指標與生理指標的相關性；Logistic迴歸分析篩選影響焦慮、抑鬱的生理相關因素.結果 體檢人群女性焦慮、抑鬱暘性率高于男性；小學及以下文化程度的人群焦慮、抑鬱暘性率最高,隨著學歷的增高,焦慮暘性率逐漸降低.焦慮、抑鬱評分與BMI、SBP、DBP、FT3、FT4之間存在負相關(r=-0.037 ～-0.092;P＜0.05).Logistic 迴歸分析提示LDL-C、FT3、FT4與抑鬱評分有關,而SBP、FT3、FT4與焦慮評分有關.結論 體檢人群中,焦慮、抑鬱情緒與性彆、學歷有關,且SBP、FT3、FT4對焦慮情緒髮生有保護作用,而LDL-C、FT3、FT4對抑鬱情緒髮生有保護作用.
목적 평고체검인군심리건강상황,탐색심리지표여부분생리지표적상관성,사선영향초필、억욱적생리상관인소.방법 이3885례체검인군위연구대상,채용초필자평량표、억욱자평량표、증상자평량표평고심리상황,선취체질지수(BMI)、수축압(SBP)、서장압(DBP)、삼선감유(TG)、저밀도지단백담고순(LDL-C)、혈청유리삼전갑선원안산(FT3)、혈청유리갑상선소(FT4)、촉갑상선격소(TSH)위연구적생리지표.용Pearson상관성분석연구심리지표여생리지표적상관성；Logistic회귀분석사선영향초필、억욱적생리상관인소.결과 체검인군녀성초필、억욱양성솔고우남성；소학급이하문화정도적인군초필、억욱양성솔최고,수착학력적증고,초필양성솔축점강저.초필、억욱평분여BMI、SBP、DBP、FT3、FT4지간존재부상관(r=-0.037 ～-0.092;P＜0.05).Logistic 회귀분석제시LDL-C、FT3、FT4여억욱평분유관,이SBP、FT3、FT4여초필평분유관.결론 체검인군중,초필、억욱정서여성별、학력유관,차SBP、FT3、FT4대초필정서발생유보호작용,이LDL-C、FT3、FT4대억욱정서발생유보호작용.
Objective To investigate the relationship between mental status and some physical indicators,so as to identify the influencing factors of anxiety and depression in health check-up populations.Methods A total of 3885 health check-up adults enrolled in this investigation.Self-rating anxiety scale (SAS),self-rating depression scale (SDS),and Symptom Checklist 90 (SCL90) were used to evaluate mental health of the participants.Physical indicators,including body mass index (BMI),systolic blood pressure (SBP),diastolic blood pressure (DBP),triglyceride (TG),low-density lipoprotein cholesterol (LDL-C),serum free three iodine armour gland original acid (FT5),serum free thyroxine (FT4),and thyroid-stimulating hormone (TSH),were retrospectively reviewed.Pearson correlation analysis was used to assess the relationship between mental health and physical signs,and the Logistic regression analysis was performed to confirm the influencing factors of anxiety and depression.Results Increased prevalence of anxiety and depression was found in females or those with lower education level.For the health check-up populations,anxiety and depression were negatively correlated to BMI,SBP,DBP,LDL-C,FT3 and FT4.In Logistic regression analysis,LDL-C,FT3 and FT4 were related to SDS score,while SBP,FT3,and FT4 were related to SAS score.Conclusion Our data suggest that emotion could be affected by gender and education level; SBP,LDL-C,FT3,and FT4 may be protective factors of anxiety and depression.
