【摘要】 目的:对西宁地区躯体形式障碍患者的临床特点及社会支持、居住环境等因素进行分析探讨。方法:选取西宁地区(海拔2 300m)躯体形式障碍患者48例,采用躯体化症状自评量表、匹兹堡睡眠质量指数、生活满意度指数、社会支持自评量表等进行评估,并与正常对照组比较。结果:躯体形式障碍组躯体化症状、睡眠质量等方面评分明显高于正常对照组(P<0.05),社会支持、生活满意度评分明显低于正常对照组(P<0.05)。多因素Logistic回归分析年龄、经济状况、高原居住年限、PSQI总分、LSRA总分、SSRS总分与躯体化症状发生密切相关。结论:高原地区特殊的自然和社会环境使得躯体形式障碍的临床特点与平原地区有所不同,居住环境、社会支持等因素对患者有显著影响。更多还原

【Abstract】 Objective:The aim of this study is to explore the relationship between sychological features and Living environment and social support in the patients with somatoform disorders.Methods:48 patients with somatoform disorders and 50 normal volunteers were recruited into this study,all of whom completed the tests of the Somatic Self-rating Scale and Pittsburgh sleep quality index and Life Satisfaction Index A and social support revalued scale.Results:Compared with the control group,the somatoform disorder patients group had lower scores at Life Satisfaction Index A and social support revalued scale(P<0.05).The patients group had higher score at Somatic Self-rating Scale and Pittsburgh sleep quality index(P<0.05).Multifactor Logistic regression analysis was closely related to age,economic situation,plateau residence years,PSQI total score,LSRA total score,SSRS total score and somatization symptoms.Conclusion:The special natural and the social environment in the plateau region make the clinical characteristics of somatic form disorder different from the plain region,where the living environment,social support and other factors have significant effects on the patients.更多还原