内科

目的探讨焦虑症缓解期患者的心理一致感及其影响因素，为更好地对患者进行心理健康干预提供参考。方法选取2020年4月12日至5月10日在我院治疗的焦虑症缓解期患者45例及同期无焦虑症等精神疾病史的健康体检者32例为研究对象，分别设为研究组和对照组。应用心理一致感量表（SOC-13）、社会支持评定量表（SSRS）、简易应对方式问卷（SCSQ）及焦虑自评量表（SAS）对两组对象进行调查，分析评价焦虑症缓解期患者的心理一致感水平，对影响患者心理一致感的因素进行多元线性回归分析。结果研究组患者的SOC-13的理解能力、处理或管理能力、价值感三个维度的评分及SOC-13总分均显著低于对照组，差异有统计学意义（P＜0.05）。研究组患者的SSRS评分、SCSQ积极应对维度评分显著低于对照组，SCSQ消极应对维度评分、SAS评分显著高于对照组，差异有统计学意义（P＜0.05）。多元线性回归分析结果显示，SOC-13总分与SSRS评分、SCSQ积极应对维度评分呈正相关，与SAS评分、SCSQ消极应对维度评分呈负相关，提示社会支持、应对方式及焦虑情绪均是影响焦虑症缓解期患者心理一致感水平的重要因素。结论焦虑症缓解期患者的心理一致感水平明显低于健康人群，为患者提供充分的社会支持，让患者采取积极的应对方式、努力减轻焦虑抑郁情绪能有效提高患者的心理一致感水平。

ObjectiveTo explore the sense of coherence in patients with anxiety disorders and the influencing factors, to provide a reference for better psychological health intervention for patients. MethodsA total of 45 patients with anxiety in the remitting stage treated in our hospital from 12th April to 10th May 2020, and 32 healthy examinates without a history of anxiety or other mental illnesses during the same period were selected as the research objects, and they were assigned to study group or control group respectively. Sense of Coherence (SOC-13) scale, Social Support Rating Scale (SSRS), Simplified Coping Style Questionnaire (SCSQ) and Self-rating Anxiety Scale (SAS) were used to investigate the two groups, and to analyze and evaluate the level of sense of coherence in patients with anxiety disorders in the remitting stage. Multivariate linear regression analysis was performed on the factors affecting the sense of coherence in patients. ResultsThe scores in three dimensions including comprehensive ability, the ability of process or manage, and sense of value in SOC-13, and the total scores of SOC-13 in the study group were significantly lower than those in the control group, and the differences were statistically significant (P＜0.05). The study group yielded significantly lower scores in SSRS and the dimension of positive coping, whereas higher scores in the dimension of negative coping in SCSQ and SAS as compared with the control group (P＜0.05). The results of multivariate linear regression analysis showed that the total scores of SOC-13 were positively correlated with scores in SSRS and the dimension of positive coping in SCSQ, whereas negatively with scores in SAS and the dimension of negative coping in SCSQ, which interpreted that social support, coping styles and anxiety were all important factors affecting the level of coherence sense in patients with anxiety disorders. ConclusionThe level of coherence sense in patients with anxiety disorders in the remitting stage is significantly lower than that in healthy people, providing patients with sufficient social support, making patients take positive coping styles and reducing anxiety and depression industriously can effectively increase the level of coherence sense in patients.