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摘要背景:病毒性肝炎患者容易出现焦虑、抑郁及其他精神症状,对其进行心理健康状况调查,从而进行心理干预是十分必要的。目的:研究病毒性肝炎对患者心理健康状况。设计:横断面调查研究。地点、对象和方法:以1999/2000武汉大学人民医院住院患者中确诊的142例病毒性肝炎患者为调查对象,以全国常模为对照。用症状自评量表(SymptomChecklist90,SCL-90)进行调查。主要观察指标:本研究主要观察病毒性肝炎对患者的心身影响,如思维、情感、行为、人际关系及学习习惯等。结果:病毒性肝炎患者SCL-90中总分(145.75±44.81)、总均分(1.62±0.50)、阳性项目数(35.22±23.09)、躯体化(1.76±0.64)、抑郁(1.68±0.61)、焦虑(1.59±0.60)、恐怖(1.39±0.55)及精神病性(1.44±0.45)均显著高于中国常模(t=3.467～7.262,P<0.01)。其强迫得分也高于中国常模(t=2.625,P<0.05)。而人际关系与敌对的得分与常模的差别无统计学意义(P>0.05)。结论:病毒性肝炎患者存在比较广泛的心理健康问题。
Abstract BACKGROUND: Patients with viral hepatitis are prone to anxiety, depression and other psychiatric symptoms. It is very necessary to investigate the mental health status of patients with viral hepatitis to make psychological intervention. Objective: To study the mental health of patients with viral hepatitis. Design: Cross-sectional investigation. Location, Subjects and Methods: A total of 142 patients with viral hepatitis diagnosed in inpatients of Wuhan University People’s Hospital in 1999/2000 were investigated. The Symptom Checklist 90 (SCL-90) was used to investigate. MAIN OUTCOME MEASURES: This study mainly observed the psychosomatic effects of viral hepatitis on patients, such as thinking, emotion, behavior, interpersonal relationship and study habits. Results: The total score (145.75 ± 44.81), total score (1.62 ± 0.50), number of positive items (35.22 ± 23.09), somatization (1.76 ± 0.64) and depression (1.68 ± 0.61) in patients with viral hepatitis, , Anxiety (1.59 ± 0.60), terror (1.39 ± 0.55) and psychosis (1.44 ± 0.45) were significantly higher than those in Chinese norm (t = 3.467-7.262, P <0.01). Forced scores were also higher than the Chinese norm (t = 2.625, P <0.05). There was no significant difference between the scores of interpersonal relationship and hostility and the norm (P> 0.05). Conclusion: There is a wide range of mental health problems in patients with viral hepatitis.