摘要
目的探讨原发性高血压与焦虑情绪的关系以及原发性高血压伴发焦虑的危险因素。方法对89例原发性高血压病人及62例健康对照者分别评定汉密尔顿焦虑量表(HAMA)、广泛性焦虑量表(GAD-7)、汉密尔顿抑郁量表(HAMD)、抑郁自评量表(SDS)、艾森克人格问卷(EPQ)。将高血压组按高血压分级标准分为1级、2级、3级,分析比较不同等级间的一般情况和各量表间的差异。并进一步比较,原发性高血压伴与不伴焦虑的一般情况和各量表之间的差异,使用多因素Logistic回归分析寻找原发性高血压伴发焦虑的危险因素。结果原发性高血压组焦虑发生率为34.83%,显著高于正常对照组(14.81%)(P<0.05);原发性高血压组抑郁、艾森克人格问卷——神经质(EPQ-nervosity,EPQ-N)因子评分显著高于健康对照组(P均<0.05);随着原发性高血压等级的增加,病人的焦虑、抑郁和神经质评分逐渐增加(P均<0.05)。多因素Logistic回归分析显示高神经质评分是原发性高血压伴发焦虑的独立危险因素。结论焦虑情绪与原发性高血压密切相关,其中神经质因子评分对原发性高血压病人的焦虑发生起着重要作用。
Objective To investigate the relationship between primary and the risk factors of primary hypertension combined with anxiety. Methods hypertension and anxiety Eighty-nine patients with primary hypertension and 62 healthy controls were enrolled in this study. Hamilton anxiety scale （HAMA）, generalized anxiety disorder 7-item scale （GAD-7）, Hamilton depression rating scale （HAMD）, self-rating depression scale （SDS） and Eysenck personality questionnaire （EPQ） were assessed. Primary hypertension group was divided into level 1, level 2, and level 3 group according to the hypertension classification. The scores of HAMA, GAD-7, HAMD, SDS and EPQ were compared between the two groups. Logistic regression was used to detect the risk factors for hypertension combined with anxiety. Results The incidence of anxiety in primary hypertension group was 34. 83%, compared with 14. 81% in the healthy control group （P〈0. 05）. The scores of depression and EPQ-nervosity（EPQ- N） in the primary hypertension group were significantly higher than those in healthy control group（ all P〈 0. 05）. With the increase of the level of hypertension, the scores of anxiety, depression, and nervosity increased （P〈 0. 05 ）. Multivariable logistic regression analysis showed that EPQ-N score was the independent risk factor of anxiety. Conclusions Anxiety is closely related to primary hypertension,and nervosity factor score plays an important role in the development of anxiety.
出处
《实用老年医学》
CAS
2017年第4期377-380,共4页
Practical Geriatrics
作者简介
通讯作者：黄晓琴，Email：hxq153@163．com
