高血压患者述情障碍、个性与心理状况

目的分析高血压患者述情障碍、个性与心理状况。方法对高血压病患者51名行艾森克人格问卷简式量表中国版(EPQ)、多伦多述情障碍量表(TAS-20)和症状自评量表(SCL-90)等调查,以全国常模为对照。结果高血压患者EPQ的E维度得分显著低于常模,N、P、L维度得分显著高于常模;高血压患者SCL-90各因子均分和总分均显著高于国内常模。TAS-20因子Ⅰ、因子Ⅱ均分和总分与SCL-90各因子均分显著正相关,因子Ⅲ与SCL-90各因子均分相关不显著。EPQ的E维度得分与SCL-90各因子显著负相关(除躯体化、恐怖因子外),而N、P维度得分与SCL-90各因子显著正相关。结论高血压患者个性较为内向、情绪不稳定和明显的精神质倾向,且存在述情障碍及多种情绪和躯体问题,心理健康状况较差。

Alexithymia,Personality Characteristic and Mental Condition in Patients with Essential Hypertension

Objective To investigate alexithymia , personality characteristic and mental condition in patients with essential hypertension. Methods Fifty-one patients with essential hypertension were assessed using Eysenck personality questionnaire (EPQ), Toronto alexithymia scale (TAS-20) and the symptom checklist-90 (SCL-90). The results were compared with those of Chinese ordinary model. Results The E score of EPQ of the patients with essential hypertension was lower than that of the Chinese ordinary model, while the N, P and L scores was higher. The total score and the scores of all factors of SCL-90 were significantly higher than that of Chinese ordinary model. The total score of TAS-20 and score of factor 1, factor 2 were positively correlated with the scores of all factors of SCL-90, while factor 3 score had no significant correlation with SCL-90. The E score of EPQ was negatively correlated with the scores of all factors of SCL-90, while N and P score were positively correlated with them. Conclusion Patients with essential hypertension were inner personality, unstable psychological status and neuroticism showing alexithymia and obvious psychological symptoms.