甲状腺功能亢进患者心理健康与冲动性、攻击性人格关系的研究.pdf

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1、2014年9月护理管理杂志Sep，2014·628·第14卷9期JournalofNursingAdministrationV01．14No．9·调查研究·甲状腺功能亢进患者心理健康与冲动性、攻击性人格关系的研究夏春梅，黄澜，刘倩，王冬梅，杨昕蕾。，于志梅【摘要】目的评估甲状腺功能亢进患者心理健康状况及其与冲动性、攻击性人格特征的关系。方法采用症状自评量表、Barratt冲动性人格量表、攻击性人格量表对169例甲状腺功能亢进患者进行问卷调查。结果甲状腺功能亢进患者躯体化、人际关系敏感、焦虑、恐怖得分高于常模(P<0．01)；存在心理问题的患者言语攻击、愤怒攻击、敌意攻击、自我攻击得分高于

2、心理健康患者(P<0．01或P<0．05)；行动性冲动与强迫症状、人际关系敏感等呈正相关，言语攻击与SCL总分呈正相关，敌意攻击与强迫症状、人际关系敏感等呈正相关，自我攻击与精神病性呈正相关(P<0．01或P

3、mentalhealthandimpulsivepersonalityandaggressivepersonalityinhyperthyroidismpafient~XIAChun—mei，HUANGLan，LIUQian，WANGDong—mei，YANGXin—lei，YUZhi—mei／／Journ~ofNursingAdministration，一2014，14(9)：628．1．TumourandEndoscopicSurgeryWard；2．GeneralWard；3．AnimalLab，FirstClinicalMedicalCoHegeofHarbinMedicalUn

4、iversity，Harbin150001，China【Abstract】ObjectiveToinvestigatethehyperthyroidismpatientsmentalhealthandanalyzethecorrelationsamongmentalhealthandimpulsivepersonali—tyandaggressivepersonality．MethodsTotally，169hyperthyroidismpatientswereinvestigatedbySymptomChecklist一90(SCL一90)，BarrattImpulsiveScale(

5、BIS)andAggressiveScale．ResultsThescoresofsomatization，interpersonalsensitivity，anxietyandphoticanxietyofhyperthyroidismgroupweresignificantlyhigherthanthenorm．Verbalaggression，anger，hostilityandself—attackscoresofpatientswithpsychologicalproblemsweresignificantlyhigherthanthoseofpa—tientswithheal

6、thpsychologicalstatus．Behavioralimpulsewaspositivelycorrelatedwithobsessive—compulsiveandinterpersonalsensitivity．CorelationanalysisshowedthatverbalaggressionwaspositivelycorrelatedwithSCL一90totalscore，hostilitywaspositivelycorelatedwithcoercionandinterpersonalsensitivity，self—attackwaspositively

7、correledwithpsychoticism．ConclusionHyperthyroidismpatientshavepoormentalhealth．Impulsiveandaggressivepersonalityarerelat-edtothementalhealthstatusofhyperthyroidismpatients．Itissuggestedtohelphyperthyroidismpatientsenvi