重庆市维持性血液透析患者大五人格与焦虑、抑郁的调查研究

目的 调查重庆市维持性血液透析患者（Maintenance Hemodialysis Patients）的大五人格构成,并探求其大五人格构成与焦虑、抑郁的关系.方法 在重庆市3家医院随机抽取237名MHP患者作为观察组,进行大五人格简表和住院患者焦虑抑郁量表调查,同时选取了157名健康被试作为对照组进行大五人格简表施测.比较2组大五人格构成的差别,并进一步使用相关分析和回归分析探寻HMD患者大五人格维度与焦虑抑郁之间的关系.结果 MHP患者的神经质和随和性维度得分较对照组显著偏高（t=2.35,P＜0.05; t=6.82,P＜0.01）.同时,其外倾性、开放性与抑郁呈负相关（r=-0.359,P＜0.01;r=-0.288,P＜0.01）,神经质与患者抑郁、焦虑均呈显著正相关（r=0.388,P＜0.01;r=0.404,P＜0.01）.外倾性、开放性和神经质对患者抑郁的预测度达到28％.结论 MHP患者较健康人群更乐于亲近人,而同时更易烦躁、敏感,紧张.而外倾性、开放性较低,神经质较高的MHP患者发生抑郁问题的易感性更高.

The correlation of the big five structure personality with depression and anxiety in maintenance hemodialysis patients in Chongqing

Objective To survey the big five structure personality in maintenance hemodialysis （MHD） patients in Chongqing, and to explore the relationship between personality and depression and anxiety in these patients. Methods A total of 237 MHD patients were randomly recruited from 3 hospitals in Chongqing as the MHD group. They were assessed by the Chinese Big Five Personality Inventory brief version （CBF-PI-B） and Hospital Anxiety and Depression Scale. Meanwhile, 157 healthy persons were also assessed by CBF-PI-B as the control group. Personality differences were compared between the two groups, and relationship be- tween personality and depression and anxiety was also evaluated in MHD patients using correlation and re- gression analyses. Results Neuroticism and agreeableness scores were significantly higher in MHD group than in control group （t=-2.35, P〈0.05, and t=-6.82, P〈0.01, respectively）. Extraversion and openness scores were negatively correlated with depression （r=-0.359, P〈0.01 and r=-0.288, P〈0.01, respectively）. Neuroti- cism was positively correlated with depression and anxiety （r=0.388, P〈0.01 and 1=0.404, P〈0.01, respec- tively）. The predictability of extraversion, openness and neuroticism for depression was up to 28%. Conclu- sion MHD patients were prone to contact people, and also to be irritable, sensitive and nervous. MHD pa- tients with higher score of neuroticism, and lower scores of extraversion and openness were susceptible to have depression.