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按糖尿病病程将受试者区分为健康对照组、(1月组、1～5月组、6～11月组、12～23月组、24～47月组、48～95月组、96～143月组及≥144月组等9个组。选取受试者455例分别进入各组。采用90项症状自评量表(SCL-90)逐一进行自评测试并计算其总分、各因子分及部分组别因子分增幅百分比。结果与对照组相比,病程<1月组总分明显升高(P=0.000),至1～5月组达一高峰(P=0.000)。此时抑郁因子增幅(63.30%)最高。6～11月组总分开始下降,至24～47月组达最低点,接近对照组水平(P=0.242),并且低于<1月组(P=0.002)。自48～95月组开始,总分再度升高,至≥144月组达新的峰值,且超过1～5月组(P=0.022)。此时以躯体化、焦虑及抑郁因子增幅最高(分别是82.02%、71.97%和70.50%)。结论随着病程增加,其心理状态变得越来越差,至≥144月达最差状态,此时主要是躯体化表现及焦虑和抑郁。
According to the course of diabetes, the subjects were divided into healthy control group (January group, 1-5 months group, 6-11 months group, 12-23 months group, 24-47 months group, 48-95 months group, 143 months group and ≥ 144 months group.A total of 455 subjects were enrolled in each group.The self-evaluation test was performed by using 90 symptom checklist (SCL-90) (P = 0.000), and peaked from January to May (P = 0.000) .At this time, the total score of the course of disease was significantly higher than that of the control group The total score of depression (63.30%) was the highest, and the total score began to decline from June to November, reaching the lowest point between 24 and 47 months, close to the control group (P = 0.242), and lower than the <1 month group ), The total score increased again from the 48th to the 95th month, reaching a new peak in the group of ≥ 144 months, and exceeded the peak in the 1 ~ 5 month group (P = 0.022) .At the time of somatization, anxiety and depression (82.02%, 71.97% and 70.50% respectively) .Conclusion As the course of disease increases, the state of mind becomes worse and worse, until it reaches the worst state in 144 months, at this time it is mainly somatization and anxiety and depression .