Analysis of mental state of allergic rhinitis patients in Chengdu city by symptom check list 90 (SCL-90) scale
10.3760/cma.j.issn.1673-0860.2019.08.004
- VernacularTitle: 采用90项症状自评量表分析成都市变应性鼻炎患者心理健康情况
- Author:
Heyin HUANG
1
,
2
;
Lanzhi ZHANG
3
;
Qinxiu ZHANG
4
;
Liu PENG
5
;
Bo XU
6
;
Guangfen JIANG
7
;
Juan ZHONG
1
,
8
;
Li FU
1
,
9
;
Luyun JIANG
4
;
Yongqing SONG
10
;
Hengsheng HE
11
;
Xiaojuan WU
11
;
Yusi TAN
12
Author Information
1. Chengdu University of Traditional Chinese Medicine, Chengdu 610000, China
2. Department of Otorhinolaryngology, Sichuan Provincial Integrated Traditional Chinese and Western Medicine Hospital, Chengdu 610000, China
3. Department of Aesthetic and Plastic Surgery, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610000, China
4. Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610000, China
5. Department of Subhealth Center, Sichuan Provincial Integrated Traditional Chinese and Western Medicine Hospital, Chengdu 610000, China
6. Psychological Counseling Room, Dazhou Central Hospital, Dazhou 635000, China
7. Department of Psychosomatic Medicine, Dazhou Central Hospital, Dazhou 635000, China
8. Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital of Sichuan University, Chengdu 610000, China
9. Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610000, China
10. Department of Operation Room, Sichuan Second Hospital of Traditional Chinese Medicine, Chengdu 610000, China
11. Department of Otorhinolaryngology, Sichuan Provincial Integrated Traditional Chinese and Western Medicine Hospital, Chengdu 610000, China
12. Department of Otorhinolaryngology Head and Neck Surgery, Sichuan People′s Hospital, Chengdu 610000, China
- Publication Type:Journal Article
- Keywords:
Symptom check list 90 (SCL-90);
Chengdu;
Rhinitis, allergic;
Mental health
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2019;54(8):576-583
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyse the mental state of patients with allergic rhinitis (AR) in Chengdu.
Methods:One thousand five hundred and thirty-six AR patients from Sichuan Provincial Integrated Traditional Chinese and Western Medicine Hospital, West China Hospital of Sichuan University, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Sichuan People′s Hospital, Sichuan Second Hospital of Traditional Chinese Medicine were selected from July 2013 to January 2018. Eight hundred and twenty-seven patients were screened into study group by inclusion and exclusion standards. The symptom check list 90 (SCL-90) was used to group and score the mental state of these patients according to nine classification criteria: gender, BMI, age, marital status, monthly salary, disease duration, living environment, education level and working environment. Then, the scores were compared within groups. Inter-group comparison was made between the study group and the Chinese norm, and the positive factors for psychological disorders were extracted. Four symptoms in the study group, i.e. nasal itching, sneezing, clear discharge and nasal congestion, were scored on the visual analogue scale (VAS). SPSS 19.0 software was used to carry out statistical analysis. Partial correlation analysis was performed between the positive factors and the symptom scores by multiple regression statistical method.
Results:The total score of SCL-90 in the study group was 2.64±0.25, which was accorded with mild to moderate mental health impairment. There were 124 (15.0%) without mental health damage, 176 (21.3%) with mild damage, 474 (57.3%) with mild to moderate damage, 41 (5.0%) with moderate to severe damage and 12 (1.4%) with severe damage. The in-group comparison showed that the top three categories of different items were the living environment, gender and working environment. The scores of somatization, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, psychosis, other (sleep, diet) and total average score of urban residents were higher than that of country residents (3.29±0.61 vs 2.65±0.50, 2.81±0.77 vs 2.05±0.38, 3.10±0.19 vs 2.49±0.67, 3.40±0.84 vs 2.49±0.70, 3.04±0.64 vs 2.33±0.51, 3.02±0.55 vs 2.40±0.77, 3.40±0.41 vs 2.52±0.77, 2.91±0.11 vs 2.29±0.40, Z value was 4.88, 5.25, 4.57, 5.91, 5.09, 4.63, 5.55, -4.55, respectively, all P<0.05). Women scored higher than man for somatization, interpersonal sensitivity, depression and others (2.66±0.51 vs 2.00±0.45, 3.37±0.47 vs 2.63±0.51, 3.44±0.57 vs 2.85±0.52, 3.47±0.36 vs 2.76±0.45, Z value was -5.10, -5.51, -4.86, -5.28, respectively, all P<0.05). The scores of somatization, interpersonal sensitivity, psychosis and other (sleep, diet) were higher in the indoor group than those in the outdoor group (3.49±0.64 vs 2.78±0.46, 3.33±0.30 vs 2.56±0.68, 3.28±0.60 vs 2.67±0.31, 3.50±0.85 vs 2.85±0.37, Z value was 5.31, 5.79, 4.89, 5.00, respectively, all P<0.05). The outdoor group scored higher on obsessive-compulsive symptoms, anxiety and hostility (3.44±0.40 vs 2.83±0.35, 3.40±0.50 vs 2.57±0.93, 3.34±0.88 vs 2.69±0.56, Z value was 4.96, 6.22, 5.08, respectively, all P<0.05). The inter-group comparison found that depression, anxiety, psychosis and other (sleep, diet) could be partially correlated with VAS scores as 4 positive factors. The results of partial correlation analysis showed that depression was positively correlated with sneezing and nasal runny discharge, anxiety was positively correlated with nasal itching and nasal obstruction, psychosis was positively correlated with nasal itching and sneezing, and other (sleep, diet) was positively correlated with nasal runny discharge and nasal obstruction.
Conclusion:AR patients have mild to moderate mental health impairments, which are correlated with AR symptoms.
