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背景:脑卒中患者常合并有抑郁、焦虑状态,后者常与特有的人格特征有关,研究这类患者的心理社会因素有助于在康复治疗过程中实施心理咨询,并采用相应对策以保证康复治疗计划的顺利进行。目的:调查心理社会因素和人格特征在脑卒中患者康复过程中的影响,为其心理康复的实施提供可行性依据。设计:病例-对照研究。单位:南京医科大学第一附属医院临床心理科。对象:选择2000-01/2001-12南京医科大学第一附属医院临床心理科就诊的脑卒中康复中的患者78例(脑卒中组),男37例,女41例,平均年龄(61.6±7.2)岁。选择2001-03/06老年大学在读的老年大学生52例作为对照组(除外脑血管疾病病史者),男33例,女19例,平均年龄(62.7±5.4)岁。两组均无阳性精神障碍的个人史。方法:采用症状自评量表(SCL-90)、艾森克个性评定量表(EPQ)和社会支持量表(SSRS)调查了78例脑卒中患者,并与无神经缺陷的老年人52例进行对照。主要观察指标:两组患者SCL-90,EPQ及SSRS各量表得分。结果:脑卒中组SCL-90总分、抑郁、焦虑、强迫、恐怖等因子分明显高于对照组(P<0.01);脑卒中组EPQ量表中神经质分[(53.42±9.42)分]明显高于对照组[(47.42±10.46)分](t=4.050,P<0.01);SSRS主观支持分及支持利用度[(15.68±5.57)分,(5.73±3.14)分]明显低于对照组[
Background: Stroke patients are often associated with depression and anxiety. The latter are often related to personality traits. Studying the psychosocial factors of such patients may be helpful to implement psychological counseling in the course of rehabilitation and to adopt corresponding measures to ensure rehabilitation Treatment plan smoothly. Objective: To investigate the impact of psychosocial factors and personality traits in the rehabilitation process of stroke patients, and to provide a feasible basis for the implementation of psychological rehabilitation. Design: Case-control study. Unit: First Affiliated Hospital of Nanjing Medical University Clinical Psychology. PARTICIPANTS: 78 patients (stroke group), 37 males and 41 females, average age (61.6 ± 7.2) were selected for stroke rehabilitation from clinical psychology department of First Affiliated Hospital of Nanjing Medical University from January 2000 to December 2001. )year old. Fifty-two elderly college students were enrolled as control group (excluding the history of cerebrovascular disease) from 2001-03 / 06. There were 33 males and 19 females, with an average age of 62.7 ± 5.4 years. There was no personal history of positive mental disorders in both groups. Methods: Seventy-eight stroke patients were investigated using the Symptom Checklist 90 (SCL-90), the Eysenck Personality Rating Scale (EPQ) and the Social Support Scale (SSRS). Fifty-two elderly patients without neurological deficits For comparison. MAIN OUTCOME MEASURES: Scores of SCL-90, EPQ and SSRS in two groups were scored. Results: The total scores of SCL-90, depression, anxiety, compulsion and terror in stroke group were significantly higher than those in control group (P <0.01). The score of neuroticism in EPQ was significantly higher in stroke group [(53.42 ± 9.42) (47.42 ± 10.46) points (t = 4.050, P <0.01). The SSRS subjective support and supportive utilization [(15.68 ± 5.57) points, (5.73 ± 3.14) points] were significantly lower than those in the control group [