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冠心病患者心理状态的临床研究
引用本文:张亚哲,赵耕源,张书刚,韩自力,关念红.冠心病患者心理状态的临床研究[J].中国神经精神疾病杂志,1997(3).
作者姓名:张亚哲  赵耕源  张书刚  韩自力  关念红
作者单位:中山医科大学第三临床学院精神医学教研室 510630(张亚哲,赵耕源,韩自力,关念红),中山医科大学第三临床学院心内科 510630(张书刚)
基金项目:美国中华医学基金会 [SubsidizingTaskofChinaMedical BoarbofNewYork (INC) ]资助课题
摘    要:目的 探讨冠心病发生发展中的心理社会因素和心理症状。  方法 作者采用六种心理测验量表自评或他评的方法对住院冠心病 62例、非冠心病 3 2例进行了多因素对照调查。  结果发现冠心病患者病前个性以情绪不稳定多见 ,生活事件刺激量明显增多 ,A型行为是冠心病高危因素之一。病后以焦虑情绪为主的抑郁、强迫、敌对性、思维迟缓、睡眠障碍等心理症状与躯体症状并存 ,相互影响。  结论 心理社会因素和生物学因素对冠心病的防治同样重要。

关 键 词:冠心病  A型行为模式  心理测验  焦虑情绪

Clinical investigation on psychological state in coronary heart disease.
Zhang Yazhe,Zhao Gengyuan,Zhang Shugang,et al Psychological.Clinical investigation on psychological state in coronary heart disease.[J].Chinese Journal of Nervous and Mental Diseases,1997(3).
Authors:Zhang Yazhe  Zhao Gengyuan  Zhang Shugang  Psychological
Abstract:Objective To research the psychosocial factors and psychological symptoms in the occurrance and development of coronary heart disease(CHD ) Methods Six sorts of rating scale for psychometric test were applied to the hospitalized patients with CHD(62 cases) and no CHD (32 cases) Results It was found that CHD patients had higher the mood instability score of EPQ scale and more psychical stimuli of life events Type A behavior pattern is one of high dangerous precipitating factor of CHD, too The psychopathological symptoms in CHD expressed mainly anxious mood, including depression, obsession, hostility, thinking retardation, sleep disorder and so on Conclusions These findings suggest that the both psychosocial and biologic factors are of equal importance in the prevention and treatment of CHD
Keywords:Coronary  heart  disease  Type  A  behavior  pattern    Test  Anxious mood
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