| Objective To find out the related mechanism, characters, factors and rules of psychological stress- emotions pathopoiesis with scientific methods, provide new foundation to the research of psychological stress- seven emotions pathopoiesis.Methods Use the methods of epidemiology, psychology measuring scale, self-made schedule of information acquisition of TCM four physical examinations. 2156 effective cases were filtrated from 2870 questionnaires. We make further study of the original database basing on the research of early and try to find out the distribution rule of TCM Syndromes in Psychology Stress Public with mathematical statistical methods, approach the Shaping mechanisms of TCM Syndromes in Psychology Stress Public from the stressor and medium, quantization compare the relationships between the injury degree of Psychology Stress Public and different TCM Syndromes and different kind of people in the stress background, approach the dependability of reactive degree of Psychology Stress Public and factors of mental scale and relationships among factors of Psychology Stress and the important effect of the related factors in different groups, all of which are aimed to further reveal the related factors and rules between the Psychology Stress Public and TCM Syndromes.Note: all of the blow conclusion are set up in the base of having statistical meaning (P＜0.01或P＜0.05).Results and conclusions1. Both the total score of SCL-90 and the average of SDS and SAS are higher than norm in Chinese, which indicate that the pressure endured and psychological stress degree are higher and the spirit and body healthy lower.2. Distribution of TCM Syndromes in 2156 cases of Psychology Stress Public is blow: 1233 cased formed the typical syndromes of TCM and 923 not, the proportions are 57.19% and 42.8%. There exist 18 kinds of syndromes in Psychology Stress Public and some of them stacked. 1083 cases belong to the type of stagnation of liver-QI (emerging one or above syndromes of depression of liver-QI syndrome, hepatic qi attacking spleen syndrome, hyperactive liver-QI attacking the stomach syndrome, pathogenic fire derived from stagnation of liver-QI syndrome are valid) and the proportions is 87.83%, 825 cases belong to the type of deficiency of Zang-Fu (emerging one or above syndromes of deficiency of guts-QI syndrome, deficiency of spleen-QI syndrome, deficiency of heart-energy syndrome, deficiency of both heart and spleen syndrome, deficiency of heart-blood syndrome, deficiency of heart-yin syndrome, deficiency of kidney-QI syndrome, deficiency of liver and heart-blood syndrome, deficiency of YIN of both the heart and liver syndrome, deficiency of kidney-YANG are valid) and the proportions is66.91%.distribution of TCM Syndromes in psychology stress public manifested as the blow: first, the public with typical syndromes mostly have other syndromes; second, the distribution of all syndromes can be sum up into 2 types: one is stagnation of liver-QI and one is deficiency of Zang-Fu, most have the background of stagnation of liver-QI and half have accompanied symptoms and signs, from which we can know that the syndromes of psychology stress public take the stagnation of liver-QI as base and develop to stagnation of liver-QI accompanied symptoms and signs and deficiency of Zang-Fu; third, the position of disease are mainly lie in liver(guts), heart and spleen(stomach). Further n analyzing the rule of development, we think it takes spleen as the mid-link of liver, guts and heart. In the cause of the development, the spleen maybe plays an important role.3. Try to make the syndromes of TCM into 7 groups of the 1233 cases psychology stress public with cluster analysis and expertise: one: depression of liver-QI syndrome, hepatic qi attacking spleen syndrome, hyperactive liver-QI attacking the stomach syndrome; two: pathogenic fire derived from stagnation of liver-QI syndrome, deficiency of both heart and spleen syndrome, deficiency of spleen-QI syndrome, deficiency of heart-blood syndrome, deficiency of heart-yin syndrome, deficiency of liver and heart-blood syndrome, deficiency of YIN of both the heart and liver syndrome; three: deficiency of heart-energy syndrome; four: deficiency of guts-QI syndrome, stagnation of the gallbladder-QI and disturbance of phlegm syndrome; five: hyperpyrexia of liver syndrome, hyperactivity of cardiac fire syndrome, deficiency of kidney-YANG syndrome; six: imbalance between heart-yang and kidneyyin syndrome; seven: deficiency of kidney-QI syndrome.4. The comparative study of stress reaction of different TCM syndromes, syndromes alike indicated that: compared with the public of non-deficiency of Zang-Fu syndromes alike, the public of deficiency of Zang-Fu syndromes alike manifested more heavy degree of stress reaction. There have no difference in the degree of stress reaction between the stagnation of liver-QI syndromes alike and the non-stagnation of liver-QI syndromes alike. From which, we can know that the proportion of stagnation of liver-QI syndromes alike is higher in psychological stress public, but the stress-injury is not much heavy. We can think the pathogenesis of stagnation of liver-QI syndromes is the most core pathomechanism in the initial stage of stress reaction, which provide evidence to the version of liver is the core of the body regulating the stress reaction. The pathological change and accompanied symptoms and signs of deficiency of Zang-Fu syndromes almost emerged in the later stage for the heavily injury of stress reaction.5. Taking the emergence of syndromes or not as dependent variable and the scores of SCL-90 and every factors as independent variable, we get 12 equations (equations omit) and results of having syndromes, stagnation of liver-QI alike syndromes, depression of liver-QI syndromes, hepatic qi attacking spleen syndromes, hyperactive liver-QI attacking the stomach syndromes, pathogenic fire derived from stagnation of liver-QI syndromes, deficiency of Zang-Fu alike syndromes, deficiency of both heart and spleen syndromes, deficiency of heart-energy syndromes, deficiency of spleen-QI syndromes, deficiency of guts-QI syndromes, deficiency of heart-blood syndromes with Binary Logistic regression analysis of the 2155 cases.6. Results of approaching the shaping mechanism of TCM in psychological stress public from the stressors manifested that: the main difference between different syndromes and syndromes alike lie in the score of the quantity of stimulus of negative life events, work and study and family problems. There' s no difference in the positive life events.The social and family support and the personality of extroversion and introversion or broad-minded can increase the experience and evaluation to the positive life events. Personality of tai-yin and shao-yin increase the experience and evaluation to the passive life events. Individual passive coping style can increase the experience and evaluation to the passive life events and the passive coping style have the adverse effect, which indicated that the attitude and recognition of individuality to special events can be affected by certain personality factor and the social and family support system and the difference of threshold of public to stress-injury are related to certain constitution and coping style.7. Approaching the shaping mechanism of TCM in psychological stress public from the angle of the medium7.1 Research of the coping style indicated: characters tai-yang, shao-yang and mild yin-yang mainly affect the individual positive coping style and shao-yin and tai-yin affect the individual passive coping style of the five different characters. The score of the positive coping style decreased if the character is too law-abiding, the score of the passive coping style increased if the character is too consciousness, extroversion can decrease the score of the positive coping style and instability of personality can increase the passive coping style from the results of EPQ personality inventory. Under the effect of stressors, those who have social and family supporter can cope with, if not, almost can' t cope with. Passive coping not only can arouse the psychological stress, but also can affect the syndromes and degree of syndromes alike.7.2 Study of the social support indicated that: higher score of shao-yang and mild yin-yang means higher social and family support, while higher score of tai-yin means the adverse from the five kinds of personality. Social and family support can decrease if the character is too law-abiding and increase if having the posticous and stable personality from the EPQ personality scale. The emergence of accompanied symptoms and signs maybe related to the lower of social and family support. So, the social and family support has effect of protecting the health and decreasing the occurrence of psychophysiological disorder.7.3 Study of the five kinds of personality indicated that: public with no TCM syndromes showed higher score of tai-yang, shao-yang and mild yin-yang, broad-minded and posticous personality and strong anti-stress ability. Comparing syndromes accompanied symptoms and signs with the single sydromes and comparing the deficiency of Zang-Fu and non- deficiency of Zang-Fu public, we can find that the tai-yin score are higher, which fully demonstrate that public with personality of rejection capability, retractility, depression and anxiety tend to emerge deficiency of Zang-Fu sydromes and accompanied symptoms and signs. Comparing the stagnation of liver-QI syndromes alike and the non-stagnation of liver-QI syndromes alike, we can find that characters like broad-minded, posticous personality and good at social intercourse are more usual and the anti-stress ability is strong. The results showed that the tai-yin personality are easier to deduce much body and mind symptoms and aggravate the degree of stress reaction, the shao-yang and mild yin-yang personality are good at accommodating the change of social environment and fully utilize the social support and form favourable recognition to positively cope with the stressors. The degree and character of stress reaction are opposite to the tai-yin personality.7.4 Study of the traits indicated that: Comparing public with TCM syndromes and non- TCM syndromes, we can find that the characters like sociability, introversion, stable mood, higher adaptive capacity and complicating personality are easier to emerge, the stagnation of liver-QI syndromes alike, syndromes accompanied symptoms and signs and deficiency of Zang-Fu syndromes alike mostly having instable personality compared with the related sydromes, which illustrate the instable personality is one important factor of affecting the degree of TCM syndromes.Combining the supreme dimension of E and N of EPQ personality inventory, we classified the personality into 9 types and found that: the non-stagnation of liver-QI syndromes alike are more likely having the personality characteristics of extroversion and more public with stable mood or emotional impulsivity. The stagnation of liver-QI syndromes alike is more likely having instable personality characteristics and characters of both extroversion and introversion. The public with no syndromes is more likely having stable personality characteristics and characters of both extroversion and introversion. The public with syndromes is more likely having instable personality characteristics and characters of both extroversion and introversion especially the introversion. The public with single syndromes is more likely having stable personality characteristics and characters of extroversion. The public with syndromes accompanied symptoms and signs is more likely having instable personality characteristics and characters of both extroversion and introversion. The public with non-deficiency of Zang-Fu syndromes alike is more likely having complicated personality characteristics like characters of both extroversion and introversion, instable and stable. The public with deficiency of Zang-Fu syndromes alike is more likely having characters of extroversion.8. From the regression equations of different syndromes in psychological stress public, we can find that: the stress-injury degree in psychological stress public have relation with the shaping of TCM syndromes especially the imbalance of spirit and body like depression, anxiety, enforce, interpersonal sensitive and rivalry and the decrease of support degree from the society. The common characters of the syndromes alike of stagnation of liver-QI and deficiency of Zang-Fu are anxiety, enforce and interpersonal sensitive. Stagnation of liver-QI syndromes alike also have the character of depression, maybe which related to the negative life events, decreased individual positive coping styles and increased passive coping styles. Deficiency of Zang-Fu syndromes alike also have the character of somatization, maybe which also related to the decreased individual positive coping styles and increased passive coping styles.9. Psychological stress is not a simple cause of from the reason to result, but a active relationship of multiple factors related to stress. The health level of spirit and body and the shaping, degree or different of TCM syndromes have relations with the stressor (life events especial the negative life events) and medium (coping style, social support, personality characteristics), all of which are interactive system of multiple factors. |
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