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目的 探讨功能性胃肠障碍 (FGD)与心理社会因素的关系。方法 应用艾森克个性问卷 [EPQ]、心理应付方式问卷[CSQ]、生活事件量表 [LES]、社会支持评定量表 [SSRS]对 5 6例FGD患者进行心理社会因素调查。并与健康人对照比较分析。结果 FGD患者具有内向、神经质个性倾向者显著高于对照组 (P <0 0 5～ 0 0 1) ;应付防御方式多采用消极应付 (P <0 0 5 ) ;就诊前 ,年内遇到的生活事件 ,特别是负性生活事件显著高于对照组 (P <0 0 5 ) ;而社会支持却明显不足 (P <0 0 5 )。结论 FGD患者具有内向、神经质个性倾向和消极应付防御等心理人格上的易感因素 ,在生活事件 ,特别是负性生活事件和社会支持不足的外界社会因素作用下 ,促发了其心理—生理应激机制 ,可能是导致FGD的重要原因
Objective To explore the relationship between functional gastrointestinal disorders (FGD) and psychosocial factors. Methods Fifty-six patients with FGD were investigated for psychosocial factors using the Eysenck Personality Questionnaire [EPQ], the Psychological Coping Style Questionnaire [CSQ], the Life Events Scale [LES] and the Social Support Rating Scale [SSRS]. And compared with healthy controls. Results The FGD patients with introverted and neurotic personality predispositions were significantly higher than those in the control group (P <0.05-0.01); the coping strategies used were negative coping (P <0.05); the lives met before and during the treatment Events, especially negative life events, were significantly higher than those in the control group (P <0.05), while social support was significantly less (P <0.05). Conclusion FGD patients have introverted, neurotic personality predisposition and negative coping strategies such as psychological and personality predisposing factors. Under the influence of external social factors such as life events, especially negative life events and insufficient social support, their psychophysiological Stress mechanisms may be an important cause of FGD