代谢综合征患者人格特征探析

2016-12-21康俏玲周嘉强郑芬萍李红

浙江医学 2016年15期

关键词：血糖

康俏玲周嘉强郑芬萍李红

代谢综合征患者人格特征探析

康俏玲周嘉强郑芬萍李红

目的探讨人格特征与代谢综合征（MS）的相关性。方法采用ZKPQ问卷，去除掩饰分数＞3分的测试数据，对183例MS患者和332例非MS对照人群进行有效个性数据分析，检测两组临床及生化指标，并进行Pearson相关性分析及logistic回归分析。结果 MS组患者的个性特征中，神经质焦虑、攻击敌意维度得分明显高于非MS组，差异均有统计学意义（均P＜0.05）。冲动和BMI、腰围呈正相关，和TG、餐后2h血糖呈负相关，神经质焦虑和空腹血糖、糖化血红蛋白水平呈正相关，攻击敌意和BMI、血糖、腰围、TG呈正相关（均P＜0.05）。年龄、饮酒、男性、攻击敌意、神经质焦虑为MS发生的危险因素。结论 MS与神经质焦虑、攻击敌意人格特征相关，建议可进行心理疏导及减压生活方式干预MS的发生。

代谢综合征人格特征相关性

【 Abstract】 Objective To analyze the association of metabolic syndrome with personality characteristics of patients. Methods One hundred and eighty three patients with metabolic syndrome(MS)and 332 non-MS subjects(controls)were enrolled in the study.The personality traits were measured by Zuckerman-Kuhlman personality scale and the polygraph questionnaire scores greater than 3 points were removed.The association of personality data with clinical and biochemical indexes of 515 effective subjects was analyzed with Pearson correlation analysis and Logistic regression analysis. Results The neurotic and anxiety and hostile scores in MS patients were significantly higher than those of control group(P＜0.05).Impulse was positively correlated with BMI and waist circumference,and negatively correlated with triglyceride and 2h-postprandial blood glucose levels.Neurotic temperament and anxiety were positively correlated with fasting glucose,glycosylated hemoglobin levels.Attacks and hostile were positively correlated with BMI and waist circumference,blood glucose and triglycerides(P＜0.05).Age,alcohol drinking,male gender,hostility,anxiety were the risk factors for the prevalence of metabolic syndrome. Conclusion Metabolic syndrome is associated with the personality traits of nervosity and anxiety,attack and hostile;psychological counseling and decompression of lifestyle may be of value in intervention of metabolic syndrome.

近30年来，中国的经济发展导致中国人群生活方式明显变化，肥胖、血脂紊乱、高血压及糖尿病患病率明显增加，代谢综合征（MS）已逐渐成为临床和公共卫生共同面临的危机。有研究表明，心理社会因素与疾病的发生和病程有密切的联系[1]。而人格因素是否能成为影响MS发生的因素之一尚不明确。因此，笔者对社区人群及住院患者进行人格量表调查及MS组分的检查测量，探讨人格因素与MS之间的关系，现报道如下。