Clinical psychological factors and treatment strategies for patients with chronic hepatitis B
10.7619/jcmp.201805017
- VernacularTitle:慢性乙型肝炎患者的临床心理因素分析及应对策略
- Author:
Haofei WANG
1
;
Yuqin WU
;
Xiaoyin CONG
;
Yong LI
;
Danjun HE
Author Information
1. 南京医科大学第一附属医院临床心理科
- Keywords:
chronic hepatitis B;
personality;
coping style;
social support;
depression;
anxiety
- From:
Journal of Clinical Medicine in Practice
2018;22(5):55-58
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the correlation between clinical mental personality,coping style,social support and depression,anxiety for patients with chronic hepatitis B,and their treatment strategies.Methods A total of 66 patients with chronic hepatitis B (CHB group) and 72 normal people (control group) were investigated by the questionnaire,such as the demographic history questionnaire,Eysenck Personality Questionnaire (EPQ),Trait Coping Style Questionnaire (TCSQ),Perceived Social Support Scale (PSSS),Hamilton Depression Scale (HAMD),Hamilton Anxiety Scale (HAMD) were assessed.Results The HAMD score and HAMA score of hepatitis B group were significantly higher than that of the control group.Pearson correlation analysis showed that depressive symptoms was negatively correlated with positive coping,family support,extroversion,and was positively correlated with neuroticism.Multiple linear regression analysis showed family support,active coping,neuroticism and psychosis were all included in the regression equation and can predict depressive symptoms (3 values,0.002,0.003,0.004,0.022,respectively).Neuroticism,positive responded to the two independent variables (β values,0.003,0.011,respectively) into the regression equation,and can predict anxiety symptoms.Conclusion The patients with chronic hepatitis B were more prone to suffer from depression and anxiety than normal people,depressive symptoms are closely related to the neuroticism and neuroticism.The anxiety symptoms are related to neuroticism.The neurotic personality traits,lack of positive coping strategies and out-of-home support may lead to depression and anxiety.Depression and anxiety symptoms can be avoided by improving the patient's personality characteristics,and actively responding and enhancing the social support system outside the home soas to reduce depression,anxiety symptoms in patients with hepatitis B.
