心理应激反应人群中医证候形成的相关因素分析

目的 探究心理应激反应人群中医证候形成的相关影响因素。方法 采用横断面流行病学调查方法。采用90项症状自评量表、自评焦虑量表、自评抑郁量表筛选心理应激人群，采用生活事件量表、特质应对方式问卷、领悟社会支持量表、中医五态性格测量表测评应激原及性格心理特质，采用中医四诊信息采集表采集中医证候信息并进行辨证分型。结果 2 156例心理应激反应人群中，有典型证候者1 233例，无典型证候者923例。在负性生活事件刺激量、工作相关问题、家庭相关问题这3个应激原的得分方面，在中医五态性格的太阳、少阳、太阴及阴阳平和这4个因子得分方面，在艾森克个性问卷的内外向因子、情绪稳定性因子方面，以及在特质应对方式和社会家庭支持度方面，有典型证候人群与无典型证候人群比较，以及具有不同类型证候的心理应激反应人群之间比较，差异均具有统计学意义（P<0.05，或P<0.01）。〖HT5H〗结论 心理应激反应人群中医证候的形成与人群的心理特质及社会因素有关。

Analysis of Factors Related to Development of Traditional Chinese Medicine Syndromes in Psychologically Stressed Population

Objective To analyze factors related to development of traditional Chinese medicine (TCM) syndromes in psychologically stressed population. Methods A cross-sectional epidemiological survey was employed in this study. The psychologically stressed population was screened out using Symptom Checklist-90, Self-Rating Anxiety Scale, and Self-Rating Depression Scale. Psychological stressors and personality traits were evaluated by Life Event Scale, Trait Coping Style Questionnaire, Perceived Social Support Scale, and TCM Five-Pattern Personality test. The information on TCM syndromes was collected and analyzed using a TCM four diagnostic table. Results The psychologically stressed population of 2 156 patients in this study was divided into a group with typical TCM syndromes (1233 cases, 57.19%) and a group without typical TCM syndromes (923 cases, 42.81%). Significant differences in the scores of three stressors including the quantity of stimulus of negative life events, work-related problems, and family issues existed between the two groups and between subgroups with different TCM syndromes (P<0.05 or P<0.01). Study of TCM five-pattern personality indicated that there were significant differences in the scores of four factors including greater yang, lesser yang, greater yin, and balanced yin-yang constitution between the two groups and subgroups with different TCM syndromes (P<0.05 or P<0.01). Significant differences were also observed in the extraversion-introversion and emotional stability factors in Eysenck Personality Questionnaire, trait coping style, and social (family) support (P<0.05 or P<0.01). Conclusion The development of TCM syndromes in psychologically stressed population may be associated with psychological traits and social factors.