Objective:To explore significant psychological factors and their roles in the course of illness from chronic hepatitis B to hepatocirrhosis;to examine the relationship between coping styles and psychosomatic symptoms in hepatitis B patients and posthepatitic cirrhosis patients.Methods:30 chronic hepatitis B patients and 30 posthepatitic cirrhosis patients were assessed with the Medical Coping Method Questionnaires (MCMQ),EPQ and SCL-90.Results:There were significant differences between the two groups in psychosomatic symptoms and coping styles,while no reliable difference was found in personality features.Posthepatitic cirrhosis patients reported more psychosomatic symptoms than hepatitis B patients.Negative coping styles,such as resignation,was found to produce significant effect.Conclusion:Negative coping style exerts significant effect in the illness progression from chronic hepatitis B to hepatocirrhosis.Therefore,psychological support should be provided for chronic hepatitis B patients and posthepatitic cirrhosis patients.

[1] 姚桢(主编).病毒性肝炎防治方案(试行):分子乙型肝炎病毒相关病学附录.北京:中国医药科技出版社,1998
[2] 龚耀先主编、修订艾森克个性问卷手册.长沙:湖南医学院出版社,1983,1-33
[3] 汪向东编.心理卫生评定量表手册.中国心理卫生杂志,1993.增刊:30-34
[4] 姜乾金,黄丽,卢抗生,等.心理应激:应对的分类与心身健康.中国心理卫生杂志,1993,7(4):145-147
[5] 李心天(主编).医学心理学.北京:人民卫生出版社,1994
[6] 蔡太生等:慢性乙肝病人的心理健康状况及相关因素的调查分析.中国临床心理学杂志,1996;4(2):111-113
[7] 王金道等(主编).临床疾病心理学.北京:北京师范大学出版社,1994