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[严重急性呼吸综合征的心理和身体表现]

[Psychological and physical presentations of severe acute respiratory syndrome].

作者信息

Wang Jian, Wang An-Wen, Zou Yi-Zhuang, Cao Lian-Yuan, Huang Wei-Hui, Huang Chun, Jin Rong-Hua

机构信息

Department of Clinical Psychology, Beijing Huilongguan Hospital, Beijing 100096, China.

出版信息

Zhonghua Nei Ke Za Zhi. 2005 Jan;44(1):30-3.

PMID:15769394
Abstract

OBJECTIVE

To study the relation between psychological symptoms and physical parameters in patients with severe acute respiratory syndrome (SARS) at different stages of the disease.

METHODS

Physical parameters such as SCL-90, chest CT, T lymphocytes and subset and SaO2 were studied in 29 SARS patients at three different stages (initial stage, serious stage, rehabilitating stage).

RESULTS

Patients with SARS showing severe psychological symptoms constituted about 41% (group I) and patients with SARS showing mild psychological symptoms (group II) constituted about 59%. There were no change of the psychological symptoms at the three stages in group I and II (P > 0.05). Statistical differences were found between physical parameters of group I and II in rehabilitating stage.

CONCLUSIONS

Severe psychological symptoms such as obsession, depression and anxiety were found in a minority of patients with SARS and the psychological symptoms were not related with the change of physical parameters. The majority of the patients with SARS did not have severe psychological symptoms. Whether or not psychological symptoms were related to their personality needs further study.

摘要

目的

研究严重急性呼吸综合征(SARS)患者在疾病不同阶段的心理症状与身体参数之间的关系。

方法

对29例处于三个不同阶段(初期、重症期、康复期)的SARS患者的身体参数进行研究,如SCL-90、胸部CT、T淋巴细胞及其亚群和动脉血氧饱和度(SaO2)。

结果

出现严重心理症状的SARS患者约占41%(I组),出现轻度心理症状的SARS患者(II组)约占59%。I组和II组在三个阶段的心理症状均无变化(P>0.05)。在康复期,I组和II组的身体参数存在统计学差异。

结论

少数SARS患者存在强迫、抑郁和焦虑等严重心理症状,且心理症状与身体参数的变化无关。大多数SARS患者没有严重心理症状。心理症状是否与其性格有关有待进一步研究。

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