摘要
目的采用病例对照方法探讨焦虑障碍患者生命质量和应对方式特点。方法对山东省≥18岁人群精神障碍流行病学调查数据进行二次分析，以符合DSM-IV诊断的720例焦虑障碍患者作为研究组，按同性别、同年龄组（±3岁）、同村或同社区1：1配对，在数据库中选择720名无任何精神疾病诊断者作为正常对照组。研究工具采用一般健康问卷、生命质量量表、简易应对方式问卷和一般资料调查问卷。结果焦虑障碍患者的生命质量评分低于对照组，差异有统计学意义（P〈0．01）。应对方式中焦虑障碍患者消极应对因子评分高于对照组，差异有统计学意义（P〈0．01）。两因素方差分析显示，在排除性别、年龄、职业、受教育年限、婚姻状况、宗教信仰因素的影响后，焦虑障碍患者的生命质量评分仍低于对照组，消极应对因子评分仍高于对照组。结论焦虑障碍患者生命质量低于正常对照组，且多采用消极应对方式。
Objective To explore the characteristics related to the quality of life and the way of response among patients with anxiety disorder in Shandong province. Methods Case-control study was adopted, with secondary data analysis on mental disorders among adults over 18 years of age, in Shandong province. 720 patients with anxiety disorder who met the anxiety diagnostic criteria of DSM-IV, were selected from the database, according to the distributions on gender, age （ ＋ 3 years of age）, village or community. 720 persons without any psychiatric diagnosis were selected and served as controls, under 1 ： 1 paired choice. Research tools would include： General Health Questionnaire （ GHQ- 12 ）, Quality of Life Questionnaire （QLQ）, Simplified Coping Style Questionnaire （ SC SQ）, and questionnaire on general information. Results Scores of QLQ among patients with anxiety disorder were lower than that of the control group, with statistically significant difference （P 〈0.01 ）. Scores on the negative ways of coping among patients with anxiety disorder were higher than the scores of the control group, with statistically significant difference （P〈0.01）. Regardless of gender, age, occupation, education, marriage, religious belief etc., results from the ＇ two factors anova-analysis＇ showed that the scores of QLQ among patients with anxiety disorder were still lower than the scores of the control group while the scores on negative coping were still higher than the scores of the control group. Conclusion Patients with anxiety disorder and having poor quality of life outnumbered the ones from the control group, and using negative coping ways to cope with the stress events.
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2013年第10期953-957,共5页
Chinese Journal of Epidemiology
基金
美国中华医学基金会（02-777）
山东省医学科研基金（2005HZ074）
