急性心肌梗塞病人心理健康及有关心理社会因素调查

目的：探讨急性心肌梗塞患者的负性情绪及相关吲素。方法：91例急性心肌梗塞（AMI）病人和90例正常人应用SCL-90、SAS、SDS、LES、SSRS等量表进行对照调查。结果：AMI组在焦虑、抑郁、强迫、敌对、人际关系敏感、恐怖、偏执、躯体化等因子均明显高于正常组，存一年内的负性生活事件也明显高于对照组。社会支持度低于对照组（P〈0．01）。结论：负性情绪、负性生活事件发生率，缺乏社会支持可能是急性心肌梗塞发生发展的危险因素。

A Stuty of Mental Health of Acute Myocardial Infarct Patients and the Related Psycholocial Factors

Objective: To study etiological relation of negative emotion and acute myocardial infarct(AMI).Methods: 91 AMI patients and 90 normal persons were investigated with SCL-90,SAS,SDS,LES,SSRS.Results: As compared with normal group,AMI patients got significant higher scores in anxiety,depression,obsession,interpersonal sensitivity,phobia,paranoid,somatization,and more negative life events in a year,and AMI had significant lower scores in social supports(P<0.01).Conclusion: Negative emotion,more negative life events and less social supports may be high risk factors of AMI and make patients'condition worsen.