Study Of The Psychological Symptoms And Coping Style In Acute Coronary Syndrome Patients

Objective: To provide theory evidence for making treatment strategy for improving mental states and coping ability of acute coronary syndrome (ACS ) patients, we investigate the related factors and correlation of the psychological symptoms and coping style in ACS patients.Methods : 95 ACS patients were assessed by symptom check list 90(SCL-90)and medical coping modes questionnaire(MCMQ). The patients were divided into unstable angina pectoris (UAP) group and acute myocardial infarction (AMI) group. Data were analyzed by independent sample t test and Pearson's correlations.Results : Compare with the ordinary mode,ACS 95 patients had significantly higher score of SCL-90 and more psychological symptoms such as somatic symptoms,depression,anxiety,hostility and fears .ACS patients had less symptoms of sensitive interpersonal relationship and paranoid than ordinary mode.There was no statistic difference of the score of obsession and psychosis between ordinary mode and ACS patients. Compare with ordinary mode,ACS patients had lower prevalence of "confrontation" and "avoidance" coping style and higher prevalence of "compromising "coping style.Female patients had more sensitive inter- personal relationship and anxiety symptoms than male. Male had higher prevalence of "confrontation" coping style, however female had higher prevalence of "avoidance "coping style.Patients under sixty had more symptoms of depression, paranoid, psychosis and higher prevalence of "confrontation" coping style than those over sixty. Patients with complete sec. education had significantly higher score of SCL-90 and more symptoms such as obsession,sensitive interpersonal relationship,paranoid and psycho- sis than those with incomplete sec. education.They also had higher pre- valence of "confrontation" and " avoidance " coping style. Compare with married patients,the widowed or divorced had significantly higher score of SCL-90 and more symptoms such as somatic symptoms, depression and anxiety, they had higher prevalence of " com- promising " coping style . As for non-smoker,they had more symptoms of sensitive interpersonal rela- tionship and paranoid and higher prevalence of "compromising" coping style than smoker. There were no statistic difference of the psychological symptoms between UAP and AMI patients, but AMI patients had higher prevalence of " compromising " coping style .Patients with hypertension had higher score of SCL-90 and more symptoms of somatic symptoms, anxiety and fear than those without. Hypertension had no effect on coping style.There was a positive correlation between psychological symptoms and the three kind of coping style in ACS patients.Conclusion: The psychological states of ACS patients were worse than ordinary mode. They had higher prevalence of "compromising" coping style and lower prevalence of "confrontation","avoidance" coping style. There are many related factors affect psychological symptoms and coping style of ACS patients. Patients with complete sec. education, widowed or divorced, or combine hypertension may have bad psychological states. Male, age under sixty or with complete sec. education had high prevalence of "conf- rontation" coping style. Female, patients with AMI or widowed or divorced, or non-smoker had high prevalence of " compromising " coping style . Psychological symptoms had a positive correlation to coping style in ACS patents.