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目的探讨银屑病患者的心理社会特点。方法采用生活事件量表、医学应对方式问卷、焦虑自评量表(SAS)、抑郁自评量表(SDS)对60例银屑病患者(病例组)和60例健康者(对照组)进行问卷调查评定。结果病例组SAS、SDS评分高于对照组,差异有统计学意义(P<0.01);其中病程在1～5年的患者SAS、SDS评分明显高于病程>5年的患者;病例组的负性生活事件、总生活事件评分均高于对照组(P<0.05);病例组的积极应对方式评分、社会支持评分均低于对照组(P<0.01);消极应对评分高于对照组,差异均有统计学意义(P<0.01)。结论银屑病患者存在明显的负性情绪,如抑郁、焦虑,特别是病程较短的患者较明显;银屑病患者在面对应激时多采取消极应对方式,在慢性病程中获得的社会支持较少;银屑病患者发病与复发前遭遇了较多影响精神的生活事件,主要是负性生活事件。
Objective To investigate the psychosocial characteristics of patients with psoriasis. Methods Sixty patients with psoriasis (case group) and 60 healthy controls (control group) were enrolled in the study. Life events scale, medical coping style questionnaire, anxiety self-rating scale (SAS) and depression self-rating scale Questionnaire assessment. Results The scores of SAS and SDS in case group were higher than those in control group (P <0.01). The score of SAS and SDS in patients with course of disease from 1 to 5 years was significantly higher than that in patients with disease> 5 years. Sex life events and total life events were significantly higher than those in the control group (P <0.05). The positive coping style scores and social support scores of the case group were lower than those of the control group (P <0.01), negative coping score was higher than that of the control group All were statistically significant (P <0.01). Conclusion There are obvious negative emotions in patients with psoriasis, such as depression and anxiety, especially in patients with shorter duration; psoriasis patients often take negative coping strategies in the face of stress, and the social acquired in chronic diseases Support less; psoriasis patients before onset and recurrence suffered more mental life events, mainly negative life events.