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目的探讨乙型肝炎病毒(HBV)携带孕妇的人格特征、社会支持、生活事件及其心理健康状况。方法采用生活事件量表(LES)、临床症状自评量表(SCL-90)、社会支持问卷(SSRS)和艾森克成人个性问卷(EPQ)对HBV携带孕妇、非HBV携带孕妇和对照组各200例进行测查。结果在SCL-90方面HBV携带孕妇在总分及各因子分方面均高于非HBV携带孕妇和对照组(P<0.05或0.01);非HBV携带孕妇与对照组比较除人际关系敏感、敌对、精神病性和其他4项无差异外,余均高于对照组(P<0.05或0.01)。在EPQ方面HBV携带孕妇在精神质和神经质分方面均高于非HBV携带孕妇和正常健康对照组,内外倾向HBV携带孕妇低于非HBV携带孕妇和正常健康对照组(P<0.01)。非HBV携带孕妇精神质和神经质高于对照组(P<0.01)。而在社会支持方面,HBV携带孕妇的总分、客观支持分、主观支持分和利用度均较非HBV携带孕妇和正常健康对照组低(P<0.01),而非HBV携带孕妇在总分、主观支持分和利用度三方面均低于对照组(P<0.05或0.01)。结论HBV携带孕妇有明显的心理障碍,性格内向,社会支持差,生活事件的影响大,在药物治疗的同时应及时给予心理干预。
Objective To investigate the personality traits, social support, life events and their mental health status of pregnant women carrying Hepatitis B virus (HBV). Methods The pregnant women carrying HBV, non-pregnant women carrying HBV and the control group were enrolled in the study by using Life Events Scale (LES), Clinical Symptom Inventory Scale (SCL-90), Social Support Questionnaire (SSRS) and Eysenck Adult Personality Questionnaire (EPQ) Each 200 cases were tested. Results Compared with non-HBV-bearing pregnant women and control subjects (P <0.05 or 0.01), HBV-carrying pregnant women in SCL-90 were significantly higher than those in non-HBV-bearing pregnant women and controls (P <0.05 or 0.01) Mental illness and other four no difference, the remaining were higher than the control group (P <0.05 or 0.01). In terms of EPQ, HBV-carrying pregnant women were significantly higher in psychoticism and neuroticism than non-HBV-carrying pregnant women and normal healthy controls, and HBV-carrying pregnant women in both HBV and HBV were lower than non-HBV-carrying pregnant women and normal controls (P <0.01). The non-HBV-carrying pregnant women had higher mental status and neuroticism than those in the control group (P <0.01). In terms of social support, the total score, objective support score, subjective support score and utilization of HBV-carrying pregnant women were lower than those of non-HBV-carrying pregnant women and normal healthy controls (P <0.01) Subjective support score and utilization were lower than those in the control group (P <0.05 or 0.01). Conclusion HBV carriers pregnant women have obvious psychological disorders, personality introverted, poor social support, life events, the impact of large-scale drug treatment should be timely psychological intervention.