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根据 P.T. 科斯塔和 R. R. 麦克雷理论分析缺血性心脏病女性的焦虑和人格的某些方面——心理社会因素在缺血性心脏病中的作用。

An analysis of anxiety and selected aspects of personality in women with ischemic heart disease according to P.T. Costa and R. R. McCrae theory - The role of psychosocial factors in ischemic heart disease.

机构信息

Department of Clinical Psychology, Medical University, Lublin, Poland.

Department of Cardiology, Medical University, Lublin, Poland.

出版信息

Ann Agric Environ Med. 2021 Mar 18;28(1):107-113. doi: 10.26444/aaem/118430. Epub 2020 Mar 20.

DOI:10.26444/aaem/118430
PMID:33775075
Abstract

INTRODUCTION

Risk factors for ischemic heart disease (IHD) are very numerous and not fully defined. In addition to classic risk factors, different factors are also distinguished, among them psychological aspects chich have rarely been subject to detailed analyses.

OBJECTIVE

The aim of study was an analysis of the anxiety structure, including the five factors of personality: neuroticism (NEU), extraversion (EXT), openness (OPE), agreeableness (AGR) and conscientiousness (CON), in women with IHD.

MATERIAL AND METHODS

The study involved 140 women aged 37-74 years with IHD confirmed by coronary angiography. Psychological examination was conducted using R.B. Cattell's IPAT Anxiety Scale and P.T. Costa and R.R. McCrae's NEO-FFI Personality Inventory.

RESULTS

The results obtained from the IPAT Anxiety Scale showed that the study group of 140 women with IHD had the correct level of internal integrity (Q3 ). The dominant factor in the anxiety structure in 88.7% of subjects was neurotic tension (Q4). A lack of sense of safety was indicated by 72.6% of subjects (L), 69.3% experienced a strong tendency to self-blame and experience a sense of guilt (O + ), and over 51.6% of women with IHD expressed decreased emotional stability (C - ). The level of general anxiety was high (GA=7.3). The analysis of the five factors of personality revealed that the dominant factors in the structure of personality of women with IHD were CON in 69.3%, AGR in 46.7% and EXT in 45.2%. NEU and OPE were moderately significant factors.

CONCLUSIONS

Women with IHD are characterised by a high level of anxiety, increased neurotic tension, decreased emotional stability, auto-aggression and a sense of danger and distrust. Women with IHD demonstrate a high level of factors, such as extraversion, agreeableness and conscientiousness.

摘要

简介

缺血性心脏病(IHD)的危险因素很多,且尚未完全明确。除了经典的危险因素外,还区分了不同的因素,其中心理方面很少受到详细分析。

目的

本研究旨在分析焦虑结构,包括人格的五个因素:神经质(NEU)、外向性(EXT)、开放性(OPE)、宜人性(AGR)和尽责性(CON),在 IHD 女性中。

材料和方法

本研究纳入了 140 名年龄在 37-74 岁之间的经冠状动脉造影证实的 IHD 女性。使用 R.B. Cattell 的 IPAT 焦虑量表和 P.T. Costa 和 R.R. McCrae 的 NEO-FFI 人格量表进行心理检查。

结果

从 IPAT 焦虑量表获得的结果表明,研究组 140 名 IHD 女性具有正确的内部完整性水平(Q3)。在 88.7%的受试者中,焦虑结构的主导因素是神经质紧张(Q4)。72.6%的受试者表现出安全感缺乏(L),69.3%的受试者表现出自责和内疚感强烈倾向(O+),超过 51.6%的 IHD 女性表现出情绪稳定性下降(C-)。总体焦虑水平较高(GA=7.3)。人格的五个因素分析表明,IHD 女性人格结构的主导因素是尽责性(CON)占 69.3%,宜人性(AGR)占 46.7%,外向性(EXT)占 45.2%。神经质(NEU)和开放性(OPE)是中度显著因素。

结论

IHD 女性的特点是焦虑水平高、神经质紧张增加、情绪稳定性下降、自我攻击和危险与不信任感。IHD 女性表现出高水平的外向性、宜人性和尽责性等因素。

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