本文選題：驚恐病 + 心肌梗死　； 參考：《中國全科醫(yī)學(xué)》2016年13期

【摘要】：目的探討驚恐障礙與急性心肌梗死患者的心理社會因素特點,并分析二者的區(qū)別,以期為二者的鑒別、合理治療提供理論依據(jù)。方法選取2012年1月—2014年11月就診于福州神經(jīng)精神病防治院的驚恐障礙患者和福建省立醫(yī)院心內(nèi)科的急性心肌梗死患者,按年齡、性別等進行1∶1配對對照分為兩組(即驚恐障礙組和急性心肌梗死組),共匹配成功48對。采用焦慮自評量表(SAS)、抑郁自評量表(SDS)、生活事件量表(LES)、社會支持評定量表(SSS)對兩組患者的心理社會因素進行評估,并進行比較分析。結(jié)果兩組正性生活事件得分間差異無統(tǒng)計學(xué)意義(P0.05);而驚恐障礙組負性生活事件得分及總分、焦慮得分均高于急性心肌梗死組,抑郁得分低于急性心肌梗死組,差異有統(tǒng)計學(xué)意義(P0.05)。兩組客觀支持得分及總分間差異無統(tǒng)計學(xué)意義(P0.05);而驚恐障礙組主觀支持、支持利用度得分低于急性心肌梗死組,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論驚恐障礙和急性心肌梗死患者發(fā)病前1年內(nèi)均受到心理社會因素的影響;驚恐障礙患者受到的負性生活事件更多,且主觀支持感及社會支持利用度差,焦慮情緒較重;急性心肌梗死患者抑郁情緒明顯,但更善于利用社會支持。
[Abstract]:Objective to explore the characteristics of psycho-social factors in patients with panic disorder and acute myocardial infarction, and to analyze the differences between them, in order to provide a theoretical basis for the differentiation and rational treatment of panic disorder and acute myocardial infarction. Methods from January 2012 to November 2014, patients with panic disorder in Fuzhou Neuropsychiatric Hospital and patients with acute myocardial infarction in Department of Cardiology, Fujian Provincial Hospital were selected according to their age. The 1:1 matched control group was divided into two groups: panic disorder group and acute myocardial infarction group. Self-rating anxiety scale (SAS), Self-Rating Depression scale (SDS), Life events scale (Les) and Social support scale (SSS) were used to evaluate the psycho-social factors of the two groups. Results there was no significant difference in the scores of positive life events between the two groups (P 0.05), while the scores of negative life events and total scores of anxiety in the panic disorder group were higher than those in the acute myocardial infarction group, and the scores of depression were lower than those in the acute myocardial infarction group. The difference was statistically significant (P 0.05). There was no significant difference in objective support score and total score between the two groups, but the score of support utilization in panic disorder group was lower than that in acute myocardial infarction group (P 0.05). Conclusion the patients with panic disorder and acute myocardial infarction were affected by psychological and social factors within one year before the onset of the disease, the patients with panic disorder suffered more negative life events, and the subjective sense of support and the utilization of social support were poor, and the anxiety was more serious. Depression was evident in patients with acute myocardial infarction, but it was better at making use of social support.
【作者單位】： 福州神經(jīng)精神病防治院;福建省立醫(yī)院;
【分類號】：R542.22;R749.5

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