Kapidzić-Duraković Suada, Karabegović Azra, Halilbegović Emir, Cićkusić Amela, Osmanović Nusret, Kudumović Zijada
Department for Neurological rehabilitation of Clinic for Physical Medicine and Medical Rehabilitation, University Clinical Center Tuzla, Trnovac bb, 75000 Tuzla, Bosnia and Herzegovina.
Bosn J Basic Med Sci. 2006 Feb;6(1):58-61. doi: 10.17305/bjbms.2006.3212.
Multidimensional Inventory Check List of Symptoms (SCL-90-r) is based on self-evaluation and it has been used for determination of level of: somatisation, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostility, phobias, paranoia and psychosis at persons which are exposed to long term emotional and physical stress. Our goal was to determine relations of physical trauma and psychological changes at persons with lower extremities amputations and to determine factors which influence those changes. Thirty seven persons with lower extremities amputations were examined. The sample included 26 (70.2 %) veterans and 11 (29.7 %) civilians with diseases related amputations. They voluntarily filled Check List of Symptoms SCL-90-r. Symptoms Inventory includes 9 dimensions of primary symptoms: SCL1-somatisation, SCL2-obsessive-compulsive symptoms, SCL3-interpersonal sensitivity, SCL4-depression, SCL5-anxiety, SCL6-hostility, SCL7-phobias, SCL8-paranoia, SCL9-psychosis and SCL10-extra scale. Inventory includes 90 statements, each evaluated with five-level scale of disorder. Every answer is graded with 0-4 points. Thirty seven persons with lower extremities amputations and average chronological age 46.2 +/- 10.92 years were analyzed. Considering marital status 30 (81.1 %) of them were married, 4 (10.8 %) were not married and 3 (8.1 %) were widowers. Considering level of amputation 27 of them (73.0 %) had amputation below knee, 5 (13.5 %) of them amputation above knee and 5 of them (13.5 %) foot amputation. SCL-90-r in both groups determined high level of sensitivity, anxiety, hostility and paranoia. Veterans showed higher level of paranoia comparing to civilians (p<0.002), and younger veterans and married ones had higher level of paranoia comparing to other veterans (p<0.01). Persons with amputations below and above knee showed higher level of paranoia comparing those with foot amputation (p<0.001). Persons with lower extremities amputations have considerably more expressed sensitivity, anxiety, hostility and paranoia. These dimensions are related to age, marital status and level of amputation. These determinants are very helpful for planning and creation of psychological support and rehabilitation of persons with lower extremities amputations.
症状自评量表90项（SCL - 90 - r）基于自我评估，用于确定长期遭受情绪和身体压力的人群在躯体化、强迫症状、人际敏感、抑郁、焦虑、敌对、恐惧、偏执和精神病性等方面的水平。我们的目标是确定下肢截肢者身体创伤与心理变化之间的关系，并确定影响这些变化的因素。对37名下肢截肢者进行了检查。样本包括26名（70.2%）退伍军人和11名（29.7%）因疾病导致截肢的平民。他们自愿填写了症状自评量表SCL - 90 - r。症状量表包括9个主要症状维度：SCL1 - 躯体化、SCL2 - 强迫症状、SCL3 - 人际敏感、SCL4 - 抑郁、SCL5 - 焦虑、SCL6 - 敌对、SCL7 - 恐惧、SCL8 - 偏执、SCL9 - 精神病性和SCL10 - 附加量表。量表包括90个陈述，每个陈述用五级紊乱量表进行评估。每个答案的评分范围是0 - 4分。对37名下肢截肢者进行了分析，他们的平均实际年龄为46.2±10.92岁。考虑婚姻状况，其中30名（81.1%）已婚，4名（10.8%）未婚，3名（8.1%）丧偶。考虑截肢水平，其中27名（73.0%）为膝下截肢，5名（13.5%）为膝上截肢，5名（13.5%）为足部截肢。两组的SCL - 90 - r均显示出较高水平的敏感、焦虑、敌对和偏执。退伍军人的偏执水平高于平民（p<0.002），年轻退伍军人和已婚退伍军人的偏执水平高于其他退伍军人（p<0.01）。膝下和膝上截肢者的偏执水平高于足部截肢者（p<0.001）。下肢截肢者有更明显的敏感、焦虑、敌对和偏执。这些维度与年龄、婚姻状况和截肢水平有关。这些决定因素对下肢截肢者心理支持和康复的规划与实施非常有帮助。
