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目的探讨紧张型头痛(TTH)住院患者的生活事件、心身症状及其相关关系。方法将35例诊断为TTH的住院军人作为患者组,以35名正常军人作为对照组,分别用生活事件量表及症状自评量表(SCL—90)对他们的生活事件及心身症状进行评定,并对二者进行相关分析。结果TTH患者所经历的正性生活事件分值低于对照组(P<0.01)、而负性生活事件分值高于对照组(P<0.01),两组间生活事件总值无差异(P>0.05)。TTH患者SCL—90的躯体化、人际敏感、抑郁、焦虑、恐怖、偏执及精神病性因子分均高于对照组(P<0.05),强迫、敌对因子分与对照组无差别(P>0.05)。SCL-90总分及阳性项目数与正性生活事件之间呈负相关关系(P<0.01),与负性生活事件之间呈正相关关系(P<0.01),与生活事件总值之间无明显相关关系(P>0.05)。结论TTH住院军人经历了较多的不良生活事件,也出现较多的心身症状,这些心身症状与生活事件之间有相关关系
Objective To investigate the life events, psychosomatic symptoms and their relationship in hospitalized patients with Tension-type headache (TTH). Methods Totally 35 inpatients diagnosed as TTH were selected as the patient group and 35 normal military personnel as the control group. Their life events and psychosomatic symptoms were assessed using the Life Events Scale and Symptom Checklist 90 (SCL-90) respectively , And the two related analysis. Results The scores of positive life events experienced by TTH patients were lower than those of the control group (P <0.01), while the scores of negative life events were higher than those of the control group (P <0.01). There was no difference between the two groups in life events (P > 0.05). The levels of somatization, interpersonal sensitivity, depression, anxiety, terror, paranoid and psychotic factors of SCL-90 in TTH patients were significantly higher than those in control group (P <0.05) . The total score of SCL-90 and the number of positive items were negatively correlated with positive life events (P <0.01) and positive events with negative life events (P <0.01), but not with the total life events Significant correlation (P> 0.05). Conclusion TTH hospital soldiers experienced more adverse life events and more psychosomatic symptoms. These psychosomatic symptoms were related to life events