临床医学肠易激综合征患者的人格情绪和应对方式研究.docxVIP

临床医学论文-肠易激综合征患者的人格情绪和应对方式研 作者:赵约翰孙宏伟高志星戴力季万胜 f摘要】目的分析肠易激综合征患者人格、情绪、应对方式的特点，探讨精神心 理因素与肠易激综合征的关系。方法采用艾森克人格简式问卷、简式简明心境 问卷对120例肠易激综合征患者(研究组)与120例健康志愿者(对照组)的人格、 情绪状况进行测评分析，采用医学应对问卷对120例肠易激综合征患者的医用 应对方式进行测评，并与肝病及消化性溃疡患者国内常模进行对比分析。结果 艾森克人格简式问卷测评，研究组神经质维度分显著高于对照组(匸4.63, P 0.01)。简明心境问卷测评，研究组紧张 焦虑、抑郁 沮丧、愤怒 敌意、疲乏、 迷惑 混乱因子分及总分均显著高于对照组(PV0.01),精力因子分显著低于对 照组(P0.01)o医学应对问卷测评，研究组回避因子分均显著低于肝病及消化 性溃疡患者(PC0.01),屈服因子分显著高于消化性溃疡患者(P0.05)o结论神经 质人格、紧张、焦虑等负性情绪及消极应对方式与肠易激综合征密切相关。 f关键词】肠易激综合征;人格;情绪;应对方式 Personality, emotion and coping mode in patients with irritable bowel syndrome [Abstract] Objective To investigate the personality, emotion and coping mode in patients with irritable bowel syndrome and to explore the relationship between psychological factors and IBS. Methods 120 IBS patients were enrolled in the study, scores of MCMQ were compared with norm of peptic ulcer patients and liver disease patients. Results In EPQ, the N (Neuroticism) factor scores of the patient group were significantly higher than those of normal group (P0.01) ;In POMS, the scores of TA ( ),DD( ), AH( ), FI ( ),CB ( ) and Overall score were significantly higher than those of control group while the score of VA ( )was significantly lower than those of control group (P0.01) ;In MCMQ, the score of avoidance was significantly lower than norm of peptic ulcer patients and liver disease patients (P0.01). The score of resignation was significantly higher than norm of peptic ulcer patients (P0.05). Conclusion Negative emotions sush as neurotic personality,tension and anxiety as well as negative coping mode are closely associated with the IBS. 【Keywords】Irritable bowel syndrome; personality; emotion; coping mode 肠易激综合ffi(Irritable bowel syndrome, IBS)是一组包括腹痛、腹胀，伴排便习 惯和大便性状异常，持续存在或间歇发作，而又缺乏形态学和生化指标异常的症 候群，是最常见的功能性消化系统疾病。流行病学统计显示[1],该病在欧美国家 人群患病率为10%?20%,亚洲国家发病率约为5%o IBS的病因和发病机制尚未 完全阐明，随着生物 心理■社会医学模式的建立，人们逐渐认识到肠易激综合 征的发病机制不是单一的，而是由多种机制相互作用所导致的心身疾病。其中最 可能的机制有：胃肠动力的紊乱、内脏感觉异常、精神心理异常、肠道感染、胃肠 激素等。近年来更强调精神心理因素在该病中的作用。因此，为探讨精神心理因 素