急性闭角型青光眼患者心理、个性、行为特征调查分析

摘要

目的 研究急性闭角型青光眼患者的心理、个性、行为特征,探讨心理因素对疾病防治的意义.方法 运用SCL-90、A型行为问卷和艾森克个性问卷对116例急性闭角型青光眼患者、56例慢性闭角型青光眼患者、120白内障患者和正常对照组(50例)进行测试比较.结果 SCL-90评分中,急性闭角型青光眼患者抑郁和焦虑得分与其他3组差异具有统计学意义(P<0.05),其余7大症状因子和总分与慢性闭角型青光眼差异无统计学意义(P<0.05),但与白内障组和正常对照组的差异具有统计学意义(P<0.05).急性闭角型青光眼患者在A型行为问卷测评中,其TH得分高于其他3组,差异有统计学意义(P<0.05),但CH得分与其他3组的差异无统计学意义,TH+CH得分与慢性闭角型青光眼患者的得分接近,差异无统计学意义(P>0.05),但却明显高于白内障患者和正常对照组(P<0.05).艾森克个性问卷调查,急性闭角型青光眼患者和慢性闭角型青光眼患者,其精神质、内外向、神经质情绪和掩饰的得分差异均无统计学意义(P>0.05),但急性闭角型青光眼患者其内外向、神经质情绪与白内障患者和正常对照组对此,差异均具有统计学意义(P<0.05).结论 心理因素与急性闭角型青光眼有明确的关系,急性闭角型青光眼患者表现为A型性格,神经质倾向.%Objective To investigate the psychology , personality and behavior characteristics of the patients with acute angle -closure glaucoma , so as to explore the clinical significance of psychological factor in the prevention and treatment of the disease . Methods Measurement and analysis were made in 116 patients with acute angle-closure glaucoma , 56 patients with chronic angle-clo-sure glaucoma, 120 patients with cataract and 50 normal subjects, with questionnaire survey by using SCL-90, A style behavior and Ey-senck Personality Questionnaire (EPQ).Results In SCL-90, the scores of depression and anxiety in the patients with acute angle-clo-sure glaucoma were higher than those of the other 3 groups, with statistical significance(P<0.05).There was no statistical significance in the scores of 7 symptoms (somatization, obsessive-compulsive, interpersonal sensitivity, hostility, phobic anxiety, paranoid ideation, psychoticism), when compared with those of the patients with chronic angle-closure glaucoma.However, statistical significance could be noted, when compared with those of the cataract and normal subjects (P<0.05).In the evaluation of questionnaire survey of A-style behavior , the scores of TH in the patients with acute angle-closure glaucoma were significantly higher than those of the other 3 groups (P<0.05).However, there was no statistical significance in the scores of CH , as compared with those of the other 3 groups. The scores of TH+CH were closely identical to those of the patients with chronic angle -closure glaucoma , without statistical signifi-cance, but they were significantly higher than those of the cataract and normal subjects (P<0.05).In EPQ questionnaire survey, no statistical significance could be seen in the scores of nervousness , introversion and extraversion , nervous emotion and masking , when comparisons were made between the patients with acute angle-closure glaucoma and chronic angle-closure glaucoma .However , there were significance differences in the scores of introversion and extraversion as well as nervousness in the patients with acute angle -closure glaucoma, as compared with those of the cataract patients and normal subjects , with statistical significance (P<0.05).Conclusion Psychological factor seems to be obviously associated with the onset of acute angle -closure glaucoma .The patients with acute angle-clo-sure glaucoma mainly display A-style personality and neurotic tendency .