摘要
目的探讨贲门失弛缓症患者临床症状与精神心理特征的关系。方法对150例贲门失弛缓症患者采用艾森克人格问卷简式量表中国版(EPQ-RSC)、症状自评表(SCL-90)和明尼苏达多项个性调查表(MMIP)进行调查。结果贲门失弛缓症患者EPQ-RSC的内外向、神经质、精神质和掩饰性评分显著高于全国常模(P<0.05);SCL-90测得贲门失弛缓症患者的躯体化、强迫、抑郁、焦虑、敌对、恐怖、精神病性、阳性项目数和总分评分显著高于全国常模(P<0.05)。贲门失弛缓症患者反食症状在不同躯体化等级间差异明显。吞咽困难、胸痛、咳嗽的症状不受躯体化、强迫、人际敏感等级影响。吞咽困难与神经质呈负相关,咳嗽与精神质呈负相关。咳嗽与疑病因子具有线性相关,反食与疑病、精神病态、精神衰弱、精神分裂症、轻躁狂呈线性相关,吞咽困难、胸痛、Eckardt总分与疑病、精神病态、精神衰弱、精神分裂症、轻躁狂无线性相关。疾病严重程度高,精神质分数高,掩饰性分数低,差异有统计学意义(P<0.05)。结论贲门失弛缓症患者部分存在轻度的心理健康问题,临床治疗中了解患者的精神及心理状态并进行适时的精神心理干预,达到辅助改善贲门失弛缓症疗效的目的。
Objective To investigate the relationship between clinical symptoms and mental and psychological characteristics of patients with achalasia.Methods One hundred and fifty patients with achalasia were investigated by Eysenck personality questionnaire-scale chinese(EPQ-RSC),Symptom checklist 90(SCL-90)and Minnesota multiphasic personality inventory(MMIP).Results Achalasia patients’extroversion,nervousness,psychosis and lieness factors score of EPQ-RSC significantly higher than the national normals(P<0.05);the somatization,compulsiveness,depression,anxiety,hostility,terror,psychotic,number of positive items,and total scores of SCL-90 of achalasia patients were significantly higher than those in the national normals(P<0.05).Food regurgitation of achalasia had significant difference among different levels of somatization symptoms,while the other symptoms as dysphagia,chest pain and cough were not affected by the somatization,force,interpersonal sensitivity level.Dysphagia was negatively correlated with neuroticism,and cough was negatively correlated with mental quality.Cough was also linear associated with hypochondriacal factors,and the food regurgitation was linearly related to hypochondriacal,psychopathy,psychasthenia,schizophrenia,hypomania.Whereas,dysphagia chest pain,Eckardt total scores had no linear correlation with hypochondriacal,psychopathy,psychasthenia,schizophrenia,and hypomania.The more severity of achalasia,the higher score of EPQ’s psychosis,but the lower EPQ’s lieness.Conclusion Some patients with achalasia have mild mental health problems,and they are undergoing clinical treatment.Understand the patients’metal and psychological state and carry out timely mental interventions,will assist in improving the curative effect of achalasia.
作者
唐玉芬
谢惠
余东亮
金鹏
盛剑秋
TANG Yufen;XIE Hui;YU Dongliang;JIN Peng;SHENG Jianqiu(Senior Department of Gastroenterology,the First Medical Center of PLA General Hospital,Beijing 100039;Department of Gastroenterology,the Seventh Medical Center of PLA General Hospital,China)
出处
《胃肠病学和肝病学杂志》
CAS
2021年第8期874-878,共5页
Chinese Journal of Gastroenterology and Hepatology
关键词
心身疾病
贲门失弛缓症
人格特征
情绪障碍
艾森克人格问卷
症状自评表
明尼苏达多项个性调查表
Psychosomatic diseases
Achalasia
Personality characteristics
Emotional disorders
Eysenck personality questionnaire
Symptom self-evaluation table
Minnesota multiphasic personality inventory
