个性、心理社会因素与肠易激惹综合征发病的关系

目的探讨个性、心理社会因素对肠易激惹综合征（IBS）的影响.方法采用艾森克个性问卷（EPQ）、症状自评量表（SCL-90）、生活事件量表（LES）测评46例IBS患者的个性、精神心理状态;另选32例健康人为对照组.结果 IBS患者的EPQ E分（内外向）低于对照组,N分（神经质）明显高于对照组（ P＜0.01）,SCL-90躯体化、强迫、焦虑、抑郁等因子分高于对照组（ P＜0.05）.IBS患者病前1年内经历负性生活事件的频度及刺激量以及生活事件总刺激量明显高于对照组（ P＜0.01）.结论个性心理特征、病前生活事件与IBS的发病相关.

Relationship between Personality, Psychosocial Factors and the Morbidity of Irritable Bowel Syndrome

ObjectiveTo explore the effect of personality and psychosocial factors on irritable bowel syndrome (IBS).MethodsPersonality and psychological status of 46 IBS patients and 32 healthy individuals were evaluated with Eysenck Personality Questionaire (EPQ), Symptom Checklist-90 (SCL-90) and Life Events Scale (LES).ResultsIn EPQ, E (extroversion-introversion) scores of IBS group were lower than those of control group; N (neuroticism) scores of IBS group were significantly higher than those of control group ( P<0.01). In SCL-90, the scores of somatization, compulsion, anxiety, depression and etc. were higher than those of control group ( P<0.05). The frequency of meeting negative life events, the quantity of stimulus of meeting negative life events and the total quantity of stimulus of meeting life events of IBS patients within one year until episode were significantly higher than those of control group ( P<0.01).ConclusionPersonality psychological characteristics and life events before illness are associated with the morbidity of IBS.