慢性心力衰竭患者D型人格对焦虑抑郁、社会支持和生活质量的影响

目的:探讨慢性心力衰竭(CHF)患者D型人格对焦虑抑郁、社会支持和生活质量的影响。方法:依据D型人格量表(DS-14)把CHF患者分为D型人格组和非D型人格组，两组均在接受治疗前进行一般状况调查表、焦虑自评量表（SAS)、抑郁自评量表（SDS)、社会支持评定量表(SSRS)和明尼苏达心力衰竭生活质量量表(MLHFQ)的测试。结果:①CHF患者中D型人格、焦虑、抑郁分别占34.0%、36.7%、46.7%。②D型人格组焦虑、抑郁的检出率(分别为70.6%和80.4%)均明显高于非D型人格组(分别为19.2%和29.3%,均P<0.01)；D型人格组的社会支持得分（34.00±7.18）明显低于非D型人格组(41.57±7.61,P<0.01)；D型人格组的生活质量得分（58.61±17.12）明显高于非D型人格组(36.67±17.63,P<0.01)。结论:D型人格的CHF患者体验更多的焦虑抑郁情绪，得到更少的社会支持，拥有较低水平的生活质量。

A study on Chinese patients with chronic heart failure: effects of Type D personality on anxiety,depression, social support and quality of life

AIM:To explore effects of Type D personality on anxiety, depression, social support and quality of life in Chinese patients with chronic heart failure (CHF). METHODS: According to the Type D personality Scale (DS14), 150 patients with CHF were divided into Type D personality group and non-Type D personality group. Both groups were investigated with the General Health Questionnaire, Zungs Self-Rating Anxiety Scale (SAS), Zung's Self-Rating Depression Scale (SDS) and Social Support Rating Scale (SSRS) and Minnesota Living with Heart Failure Questionnaire (MLHFQ) before receiving treatment. RESULTS: ①34.0%, 36.7% and 46.7% patients with CHF were Type D personality, anxiety and depression, respectively. ② The positive detectable rates of anxiety and depression in Type D personality group (70.6%, 80.4%, respectively) were higher than those in non-Type D personality group (19.2%, 29.3%, respectively, all P<0.01); The score of SSRS in Type D personality group (34.00±7.18) was significantly lower than in non-Type D personality group (41.57±7.61, P<0.01). The score of MLHFQ in Type D personality group (58.61±17.12) was significantly higher than in non-Type D personality group (36.67±17.63, P<0.01). CONCLUSION: A Chinese sample of CHF patients with Type D personality suffer more from anxiety and depression, receive less social support, and have a lower level of quality of life.