CAJ | 학술논문

目的：了解肌萎缩侧索硬化（amyotrophic lateral sclerosis，ALS）患者焦虑、抑郁状况及其影响因素。方法采用Zung编制的焦虑自评量表（self-rating anxiety scale，SAS）、抑郁自评量表（self-rating depression scale，SDS），对174例ALS患者进行调查。了解ALS患者焦虑、抑郁状况及其影响因素。结果174例患者中，发生焦虑21例，占12.07%；发生抑郁65例，占37.36%。患者SAS、SDS得分均高于全国常模，组间比较，均P＜0.001，差异具有统计学意义。女性患者抑郁发生率较男性患者高（P＜0.05）。结论 ALS患者焦虑、抑郁心理问题较正常人更为突出，治疗过程中要重视对患者的心理支持和疏导，特别应关注女性患者的心理健康状况。
목적：료해기위축측색경화（amyotrophic lateral sclerosis，ALS）환자초필、억욱상황급기영향인소。방법채용Zung편제적초필자평량표（self-rating anxiety scale，SAS）、억욱자평량표（self-rating depression scale，SDS），대174례ALS환자진행조사。료해ALS환자초필、억욱상황급기영향인소。결과174례환자중，발생초필21례，점12.07%；발생억욱65례，점37.36%。환자SAS、SDS득분균고우전국상모，조간비교，균P＜0.001，차이구유통계학의의。녀성환자억욱발생솔교남성환자고（P＜0.05）。결론 ALS환자초필、억욱심리문제교정상인경위돌출，치료과정중요중시대환자적심리지지화소도，특별응관주녀성환자적심리건강상황。
Objective To study the anxiety and depression in patients with amyotrophic lateral sclerosis(ALS).Method One hundred and seventy-four ALS patients were evaluated by self-rating anxiety scale(SAS)and self-rating depression scale(SDS) to study the anxiety and depression in them.Results In 174 ALS patients,21 had anxiety(12.07%)and 65 the depression(37.36%). The scores of SAS and SDS in the ALS patients were significantly higher than the national norm(P<0.05).The depression incidence in the female patients was significantly higher than the male(P<0.05).Conclusions Anxiety and depression are more severe than those in ALS patients than those in normal people.Psychological support is important for these patients,especially for those female patients.