体质心理素质对神经性脊柱疾病患者情绪和心理状态的影响

I. Nazarchuk
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The course of subacute and chronic cervicalgia, cervicocranialgia, cervicobrachialgia (neck and shoulder pain) was characterized depression symptoms at the melancholic temperament type (at 76% patients, р< 0,05). At the choleric temperament type depression symptoms was present meeted very often too (at 68% patients). At the sanguine temperament type depression symptoms was very rarely (at 29% patients). The peculiarities from reactive and personality anxiety were found too. It were at the melancholic and choleric patient highter significantly, than at the sanguine patients (p <0,05, p <0,01, p < 0,001). Temperament influence on the depression symptoms and anxiety confirmed by reliable correlations.\n\nConclusions. The emotional and psychic state at the patients with NCSD characterize as anxiety on the background of neurological symptoms of cervicalgia, cervicocranialgia, cervicobrachialgia (neck and shoulder pain). 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摘要

目的:研究神经性颈椎疾患患者的情绪和精神状态,探讨体质心理素质对神经性颈椎疾患的影响。方法和对象。采用临床-遗忘、临床-功能(椎神经学)、临床-神经学方法对87例亚急性和慢性NCSD患者(18-44岁)进行检查。采用斯皮尔伯格-哈宁测验和汉密尔顿抑郁评定量表检查情绪和精神状态。采用艾森克EPQ问卷对体质的心理功能进行气质类型测定。结果和讨论。亚急性和慢性颈痛、颈头痛、颈臂痛(颈肩痛)病程以忧郁气质型抑郁症状为特征(76%,p < 0.05)。在胆汁质型患者中,抑郁症状也经常出现(68%的患者)。乐观气质型患者很少出现抑郁症状(占29%)。反应性焦虑和人格焦虑的特点也被发现。抑郁、胆汁质组明显高于血液质组(p < 0.05, p < 0.01, p < 0.001)。气质对抑郁症状和焦虑的影响有可靠的相关性。NCSD患者的情绪和精神状态以颈痛、颈头痛、颈臂痛(颈肩痛)等神经系统症状为背景,表现为焦虑。如果这些症状加上表现下降、情绪和睡眠障碍,所有这些症状加在一起就被总结为抑郁症,主要是轻微的严重程度。包括气质在内的人的体质心理素质影响着它的形成。提出了不同气质类型对NCSD患者情绪和精神状态的影响模型。指出了忧郁、胆汁气质类型和多血型的生血品质的致病意义。在诊断和治疗非csd患者时应考虑体质心理素质和情绪心理状态。研究结果证实了人体体质、情绪和精神状态对非csd的意义。这是后续研究的背景。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Constitutional psychic human qualities influence on the emotional and psychic state at the patients with neurological spine disorders
Objective - to study the emotional and psychic state at the patients with neurological cervical spine disorders (NCSD) and determine of the constitutional psychic human qualities influence at the it. Methods and subjects. 87 patients (18-44 years old), who suffered from subacute and chronic NCSD, were examined by clinical-anamnestic, clinical-functional (vertebral neurological), clinical-neurological methods. Emotional and psychic state was examined by Spielberger-Hanin test and Hamilton Depression Rating Scale. Psychic functions of human constitution were studied by temperament type determining with using Eysenck’s EPQ questionnaire. Results and discussion. The course of subacute and chronic cervicalgia, cervicocranialgia, cervicobrachialgia (neck and shoulder pain) was characterized depression symptoms at the melancholic temperament type (at 76% patients, р< 0,05). At the choleric temperament type depression symptoms was present meeted very often too (at 68% patients). At the sanguine temperament type depression symptoms was very rarely (at 29% patients). The peculiarities from reactive and personality anxiety were found too. It were at the melancholic and choleric patient highter significantly, than at the sanguine patients (p <0,05, p <0,01, p < 0,001). Temperament influence on the depression symptoms and anxiety confirmed by reliable correlations. Conclusions. The emotional and psychic state at the patients with NCSD characterize as anxiety on the background of neurological symptoms of cervicalgia, cervicocranialgia, cervicobrachialgia (neck and shoulder pain). It this symptoms add with decreased performance, mood and sleep disturbances and all these complaints in the aggregate are summed up as depressive disorders, mainly of mild severity. Constitutional psychic human qualities, which included in temperament, influence on the it formation. The models of influence different temperament types on the emotional and psychic states at the patients with NCSD were represented. It points pathogenic significance of melancholic and choleric temperament types and sanogenetic qualities of sanguine type. Constitutional psychic human qualities and emotional and psychic state should be considere at the diagnostic and treatment patients with NCSD. Significance of the human constitution, emotional and psychic state for NCSD confirm by study results. It is background for following studies.
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