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首页> 外文期刊>Journal of Clinical Medicine Research >Psychological Distress, Personality Traits and Functional Disability in Patients With Osteonecrosis of the Femoral Head
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Psychological Distress, Personality Traits and Functional Disability in Patients With Osteonecrosis of the Femoral Head

机译：股骨头坏死患者的心理困扰，人格特征和功能障碍

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Background: The aim of the present study was to investigate personality traits, psychological distress and functional disability in patients with non-traumatic osteonecrosis of the femoral head (ONFH). Methods: Sixty-seven patients participated in the study, 48 males and 19 females. The mean age was 37.6 years (SD: 10.92, range: 15 - 61). Seventy-five healthy individuals, age and sex matched, served as controls. Socio-demographic information and clinical data were collected. The following instruments were used: the General Health Questionnaire (GHQ-28), the Defence Style Questionnaire (DSQ) and the World Health Organization Disability Assessment Schedule II (WHO-DAS II). Results: Patients suffering from ONFH presented higher scores at the GHQ-28 compared to healthy controls (P < 0.001). Duration of disease (P < 0.047) and age (P < 0.023) were the main factors associated with psychological distress (P < 0.003). Personality traits such as image distorting (P < 0.025) and self-sacrificing (P < 0.029) were identified in patients with ONFH compared to healthy controls. Functional disability was associated with high scores at GHQ-28 scale (P < 0.001). The “adaptive personality structure”, as measured by DSQ was negatively associated with functional impairment (P < 0.022). Conclusions: Patients with ONFH more commonly present symptoms of psychological distress associated with distinct functional clinical parameters. The present study also reveals the role of personality traits. Further investigation could specify the possible influence of psychopathology and personality traits or coping strategies on the course of disease.J Clin Med Res. 2014;6(5):336-344doi: http://dx.doi.org/10.14740/jocmr1851w
机译：背景：本研究的目的是调查非创伤性股骨头坏死（ONFH）患者的人格特征，心理困扰和功能障碍。方法：67名患者参加了这项研究，其中男性48例，女性19例。平均年龄为37.6岁（标准差：10.92，范围：15-61）。年龄和性别相匹配的七十五名健康个体作为对照。收集了社会人口学信息和临床数据。使用了以下工具：一般健康调查表（GHQ-28），防御方式调查表（DSQ）和世界卫生组织残疾评估表II（WHO-DAS II）。结果：与健康对照组相比，患有ONFH的患者在GHQ-28上得分更高（P <0.001）。疾病持续时间（P <0.047）和年龄（P <0.023）是与心理困扰相关的主要因素（P <0.003）。与健康对照组相比，在ONFH患者中发现了人格特质，例如图像失真（P <0.025）和自我牺牲（P <0.029）。功能障碍与GHQ-28量表的高分相关（P <0.001）。 DSQ测得的“适应性人格结构”与功能障碍呈负相关（P <0.022）。结论：ONFH患者更常出现心理困扰症状，并伴有明显的功能性临床参数。本研究还揭示了人格特质的作用。进一步的研究可以确定心理病理学和人格特质或应对策略对疾病进程的可能影响。 2014; 6（5）：336-344doi：http：//dx.doi.org/10.14740/jocmr1851w

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