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广泛性焦虑症的直线回归相关与病因推测

Linear regression and etiology inferring of the generalized anxiety disorder

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【摘要】 目的:探讨广泛性焦虑症的直线回归相关与病因。方法:广泛性焦虑症SCL-90第三项"头脑中有不必要的想法或字句盘旋"被视为"时点邪念"的大体表现,与同期BAI进行直线回归相关探讨,并结合临床观察思辨其内在关系,进而推测其病因。结果:当BAI采用粗总分计算时,直线回归方程为Y=15.5075+6.8183 X(t=15.36,P<0.01)。当BAI采用标准总分计算时,直线回归方程Y=18.4539+8.1138 X(t=15.36,P<0.01)。同时临床观察到SCL-90第三项"头脑中有不必要的想法或字句盘旋"对同期BAI的消长有先导与决定性的作用,其在整个病程之串联即形成"持久邪念"的主体而决定着广泛性焦虑症的发生与转归。患者的内心能明确体会到SCL-90第三项"头脑中有不必要的想法或字句盘旋"与BAI之间无论是同期或长期都存在因果关系和消长相随的变化关系。结论:二者数学上具有直线关系并呈较强的正相关,临床上观察到具有消长相随的变化关系,能为患者内心明确体会出因果关系和消长相随的变化关系。它们可作为"持久邪念是广泛性焦虑症病因"的三个证据。

【Abstract】 Objectives:To investigate the etiology of generalized anxiety disorder by linear regression.Methods:The third item of Self-Report Symptom Inventory(SCL-90),"Unwanted thoughts,words,or ideas that won’t leave your mind",is regarded as the appearance of "time-point wicked idea".To deduct their inner relationship and etiology of generalized anxiety disorder,the linear regression was conducted to analysis the relationship of scores for third item of SCL-90 and Beck Anxiety Inventory(BAI).Results:When scoring with coarse total score for BAI,linear regression equation is Y = 15.5075 + 6.8183 X(t = 15.36,P< 0.01).When scoring with standard total score for BAI,linear regression equation is Y = 18.4539 + 8.1138 X(t = 15.36,P< 0.01).Meanwhile,we observed that the "Unwanted thoughts,words,or ideas that won’t leave your mind" has a predictive and decisive effect on scores for BAI.It exists in the whole course of disease as "persistent wicked idea" and plays a decisive role in the onset and outcome of generalized anxiety disorder.The correlative and causal relationships between the third of SCL-90 and BAI are clearly existent in patients’ sense.Conclusion:There is a significant correlation between scores of SCL-90 and BAI in statistics and clinic.This correlation is definitely experienced by patients.These serve as three proofs of the hypothesis that "persistent wicked idea" is the etiology of generalized anxiety disorder.

  • 【文献出处】 中医临床研究 ,Clinical Journal of Chinese Medicine , 编辑部邮箱 ,2014年09期
  • 【分类号】R749.72
  • 【被引频次】1
  • 【下载频次】168
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