Chau N, d'Houtaud A, Gruber M, Monhoven N, Gavillot C, Pétry D, Bourgkard E, Guillaume S, André J M
INSERM U115, Faculté de Médecine, Vandoeuvre-lès-Nancy, France.
Eur J Epidemiol. 1995 Aug;11(4):373-82. doi: 10.1007/BF01721220.
This study compared the personality self-representations of 288 hand injured patients with those of 959 young people (15-25 years old) randomly selected from the general population (noted GP), and with those of 336 unemployed people of all ages in professional training (U) in Lorraine (north-eastern France). The relationship between patients' personality self-representations and injury was also investigated. Personality self-representations included 14 questions: in your own opinion are you sociable?, at ease with others?, serious?, careful?, dynamic?, optimistic?, worried?, irritable?, clumsy?, solitary?, organised?, ambitious?, do you have a sense of responsibility?, and many plans? The patients had similar self-representations to GP except for the items non clumsy (odds ratio adjusted on age and sex OR = 2.40, p < 0.05) and optimistic (OR = 1.70, but 0.05 < p < 0.10). The frequencies of non irritable, non clumsy and non solitary people were higher in patients than in the U group (OR about 2.40, p < 0.01). By contrast, the other items were more favourable for the U group except for the items sociable, organised and having many plans. Self-representation items were significantly related to some socio-demographic data. The work injured workmen having one or more previous work injuries during the last five years were more at ease with others than the other subjects. Among the work injured workmen who had had no previous work injury during this time, the people aged 29 or less (the highest risk age class) were more optimistic than the others (71% vs 49%, p < 0.05); a difference was also found for the items at ease with others, careful, dynamic, and non worried, but it was not significant possibly due to the small number of subjects. The sum of these five items differed between the two age groups (3.29 +/- 1.49 vs 2.55 +/- 1.68, p < 0.05). These simple items would provide an interesting approach in terms of personality which could explain in part the excess of work injuries in young people, though the work requirement still seemed to be the highest risk factor.
本研究比较了288名手部受伤患者与959名从普通人群（记为GP）中随机选取的年轻人（15 - 25岁）以及336名法国东北部洛林地区接受职业培训的各年龄段失业者（U）的人格自我表征。还研究了患者人格自我表征与受伤之间的关系。人格自我表征包括14个问题：在你自己看来，你善于社交吗？与他人相处自在吗？严肃吗？细心吗？有活力吗？乐观吗？焦虑吗？易怒吗？笨拙吗？喜欢独处吗？有条理吗？有抱负吗？你有责任感吗？以及有很多计划吗？除了“不笨拙”（年龄和性别调整后的优势比OR = 2.40，p < 0.05）和“乐观”（OR = 1.70，但0.05 < p < 0.10）这两项外，患者的自我表征与普通人群相似。患者中不易怒、不笨拙和不喜欢独处的人的频率高于U组（OR约为2.40，p < 0.01）。相比之下，除了“善于社交”“有条理”和“有很多计划”这几项外，其他项目对U组更为有利。自我表征项目与一些社会人口统计学数据显著相关。在过去五年中有一次或多次既往工伤的工伤工人比其他受试者与他人相处更自在。在这段时间内没有既往工伤的工伤工人中，29岁及以下（风险最高的年龄组）的人比其他人更乐观（71%对49%，p < 0.05）；在“与他人相处自在”“细心”“有活力”和“不焦虑”这些项目上也发现了差异，但可能由于受试者数量较少，差异不显著。这两个年龄组在这五个项目的总和上存在差异（3.29 +/- 1.49对2.55 +/- 1.68，p < 0.05）。这些简单的项目将为从人格角度提供一种有趣的方法，这在一定程度上可以解释年轻人工伤过多的现象，尽管工作要求似乎仍是最高风险因素。
