CAJ | 학술논문

目的：评估结节性甲状腺肿患者心理健康状况及冲动性人格水平，初步探讨结节性甲状腺肿心理健康状况及其冲动性人格特征的关系。方法采用随机抽样方法对选取的169例结节性甲状腺肿患者进行问卷调查，测评工具包括一般资料、症状自评量表（ SCL-90）、简易应对方式量表（ SCSQ ）、冲动型人格量表（BIS）、生活事件量表（LES）。通过t检验、χ2检验、相关分析等方法对数据进行统计学分析。结果结节性甲状腺肿患者躯体化、人际关系敏感、焦虑、恐怖评分明显高于常模；心理问题组患者计划性冲动总分、躯体性冲动得分和认知行为冲动得分明显高于心理健康组患者得分；心理问题组患者消极应对得分显著高于心理健康组患者得分；相关分析结果显示，计划性冲动与敌对、精神病性、附加及SCL总分呈正相关；躯体性冲动与强迫、人际敏感、抑郁、焦虑、敌对、恐怖、精神病性、附加及SCL总分呈正相关；认知行为冲动与各因子无相关。结论结节性甲状腺肿患者总体心理健康状况较差；计划性冲动和躯体性冲动人格特征与结节性甲状腺肿患者心理健康密切相关。
목적：평고결절성갑상선종환자심리건강상황급충동성인격수평，초보탐토결절성갑상선종심리건강상황급기충동성인격특정적관계。방법채용수궤추양방법대선취적169례결절성갑상선종환자진행문권조사，측평공구포괄일반자료、증상자평량표（ SCL-90）、간역응대방식량표（ SCSQ ）、충동형인격량표（BIS）、생활사건량표（LES）。통과t검험、χ2검험、상관분석등방법대수거진행통계학분석。결과결절성갑상선종환자구체화、인제관계민감、초필、공포평분명현고우상모；심리문제조환자계화성충동총분、구체성충동득분화인지행위충동득분명현고우심리건강조환자득분；심리문제조환자소겁응대득분현저고우심리건강조환자득분；상관분석결과현시，계화성충동여활대、정신병성、부가급SCL총분정정상관；구체성충동여강박、인제민감、억욱、초필、활대、공포、정신병성、부가급SCL총분정정상관；인지행위충동여각인자무상관。결론결절성갑상선종환자총체심리건강상황교차；계화성충동화구체성충동인격특정여결절성갑상선종환자심리건강밀절상관。
Objective To assess the relationship between the psychological state and the im-pulsive characteristics of nodular goiter .Methods One hundred and sixty-nine nodular goiter patients were asked to complete Life Events Scale (LES), Symptom Checklist Scale(SCL-90), Barratt Impulsive Scale (BIS), Simplified Coping Style Questionnaire (SCSQ) and self-com-posed general questionnaire .All data were statistically analyzed by t-test,χ2 test and stepwise multiple regression .Results The scores of somatization , interpersonal sensitivity , anxiety and phobia were obviously higher in patients with nodular goiter than those in norms .The total scores of planned impulse , the scores of somatic impulse , cognitive behavioral impulse , and the scores of negative coping were significantly higher in patients with psycho-problems than those with psychological health .Correlation analysis showed that planned impulse was positive related to hostility , psychosis , annexation and the total scores of SCL; while somatic impulse was positive related to compelling , interpersonal sensitivity , depression , anxiety , hostility , phobia , psychosis , annexation and the total scores of SCL .Cognitive behavioral impulse was not related to any factors .Conclusion The overall mental health condition of nodular goiter patients is poor;and personality traits of planned impulse and somatic impulse are closely relat-ed to the mental health of nodular goiter patients .