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|本期目录/Table of Contents|

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

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2015年第3期
页码:
325-329
栏目:
临床研究
出版日期:
2015-01-11

文章信息/Info

Title:
A study on Chinese patients with chronic heart failure: effects of Type D personality on anxiety, depression, social support and quality of life
作者:
王 宁王丹倩杨富国
(青岛大学护理学院,山东 青岛 266021)
Author(s):
WANG Ning WANG Dan-qian YANG Fu-guo
(School of Nursing, Qingdao University, Qingdao 266021, Shandong, China)
关键词:
D型人格慢性心力衰竭情绪障碍社会支持生活质量
Keywords:
Type D personality Chronic heart failure Dysthymic disorder Social support Quality of life
分类号:
R541.61
DOI:
-
文献标识码:
A
摘要:
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。
Abstract:
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.

参考文献/References

[1]Denollet J,Sys SU,Stroobant N,et al.Personality as Independent predictor of long-term mortality in patients with coronary heart disease[J].Lancet,1996,347(8999):417-421.
[2]Denollet J.Type D personality.A potential risk factor refined[J].J Psychosom Res,2000,49(4):255-266.
[3]赵宗寒,杨志寅.D型人格对住院冠心病患者焦虑抑郁情绪及生活质量的影响[J].中华行为医学与脑科学杂志,2012,21(11):982-984.
[4]瞿云中,黄彦科,姚树桥.D型人格量表用于心血管病人群的信效度[J].中国临床心理学杂志,2009,17(4):452-453.
[5]朱燕波,杜金行,林 琳,等.明尼苏达心功能不全生命质量量表中文版的研制及临床试用[J].中华行为医学与脑科学杂志,2010,19(2):178-181.
[6]周 静,蒋文慧,张 超,等.冠状动脉介入术病人D型人格特征对生存质量的影响[J].护理研究,2012,26(35):3285-3287.
[7]刘萍萍,张 健,杨跃进,等.心力衰竭病人焦虑抑郁调查研究[J].中国循环杂志,2007,22(4):285-288.
[8]Ormel J,Wohlfarth T.How neuroticism,long-term difficulties, and Life situation change influence psychological distress: a longitudinal model[J].J Pers Soc Psychol,1991,60(5):744-755.
[9]Watson D,Clark LA,Harkness AR.Structures of personality and their relevance to psychopathology[J].J Abnorm Psychol,1994,103(1):18-31.
[10]Schiffer AA,Pedersen SS,Widdershoven JW,et al.The distressed (type D) personality is independently associated with impaired health status and increased depressive symptoms in chronic heart failure[J].Eur J Cardiovasc Prev Rehabil,2005,12(4):341-346.
[11]Spindler H,Pedersen SS,Serruys PW,et al.Type-D personality predicts chronic anxiety following percutaneous coronary intervention in the drug-eluting stent era[J].J Affect Disord,2007,99(1/3):173-179.
[12]Schiffer AA,Pedersen SS,Broers H,et al.Type-D personality but not depression predicts severity of anxiety in heart failure patients at 1-year follow-up[J].J Affect Disord,2008,106(1):73-81.
[13]Williams L,O’connor RC,Howard S,et al.Type-D personality mechanisms of effect:the role of health-related behavior and social support[J].J Psychosom Res, 2008,64(1):63-69.

备注/Memo

备注/Memo:
收稿日期:2014-07-28.
基金项目:山东省医药卫生科技发展计划项目资助(2011HW025,2011HW026)
通讯作者:杨富国,副教授,主要从事心血管疾病与心理行为相关研究Email:yfuguo@126.com
作者简介:王宁,硕士生Email:1193277451@qq.com
更新日期/Last Update: 2015-02-03