Objective: This study examined retrospectively the relationship between premenstrual symptoms and health anxiety. Methods: Premenstrual symptoms of nursing school graduates were assessed in 1985 and again in 1991 usin...Objective: This study examined retrospectively the relationship between premenstrual symptoms and health anxiety. Methods: Premenstrual symptoms of nursing school graduates were assessed in 1985 and again in 1991 using the Premenstrual Assessment Form (PAF). A total of 571 women completed the survey in 1991, along with items relating to their physical and mental health. The latter included depression, anxiety, and panic attacks. Health anxiety was also assessed using the Whiteley Index (WI). After women who were amenorrheic for any reason were excluded, a final sample of 410 women aged 25 to 52 years was obtained. Factor analyses yielded 57 items that were useful for calculating a total PAF score. A stepwise multivariate linear regression model was used to find the association of PAF scores with various participant characteristics. Results: Thirty-kone of the 410 (7.6%) women had WI scores of ≥5 and were considered to have significant health-related anxiety. The PAF score had statistically significant associations with health anxiety, as well as depression and anxiety. Conclusions: Our results suggest that the premenstrual symptoms often coexist with health anxiety as well as other psychological symptoms. Clinicians should be alert to the fact that PMS may be associated with treatable psychiatric conditions.展开更多
目的了解医科院校大学生的负性情绪水平和疑病倾向以及单次指导性音乐想象对疑病倾向的干预作用。方法于2022年5月在广州某所医科大学抽取196名在读大学生,采用突发性公共卫生事件心理问卷(psychological questionnaires for emergent e...目的了解医科院校大学生的负性情绪水平和疑病倾向以及单次指导性音乐想象对疑病倾向的干预作用。方法于2022年5月在广州某所医科大学抽取196名在读大学生,采用突发性公共卫生事件心理问卷(psychological questionnaires for emergent events of public health,PQEEPH)和明尼苏达多相人格测试-疑病量表(Minnesota multiphasic personality inventory-hypochondriasis subscale,MMPI-Hs)分别测量负性情绪(包含5个维度:抑郁、神经衰弱、恐惧、强迫-焦虑和疑病)和疑病水平,并根据MMPI-Hs分数选取30名被试者运用指导性音乐想象技术进行单次干预。结果医科院校大学生负性情绪和疑病水平较低,PQEEPH测得的5维度均值均<1分,MMPI-Hs测得的疑病T分为(49.47±9.32)分,医学专业学生的强迫-焦虑[(0.36±0.45)分]及疑病得分[(50.85±9.42)分]均高于非医学专业学生[(0.25±0.32)、(48.03±9.03)分],差异均有统计学意义(均P<0.05);单次指导性音乐想象对负性情绪有改善作用,表现为大学生的恐惧分数在干预后[(0.64±0.51)分]对比干预前[(0.79±0.54)分]有下降趋势,但差异无统计学意义(P>0.05);单次指导性音乐想象对医学专业学生的疑病倾向干预效果显著,前后测差异有统计学意义(P<0.05),对非医学专业学生干预效果不显著,前后测差异无统计学意义(P>0.05)。结论医科院校大学生的负性情绪与疑病水平较低,单次指导性音乐想象对负性情绪有改善作用,对疑病倾向有显著干预作用。采用指导性音乐想象干预方法加强大学生心理健康具有潜在价值,但仍需更严谨的研究设计来验证其干预效果。展开更多
Background: Given that on the one side considerable similarities between hypochondriasis and obsessive- compulsive disorder (OCD) by means of sharing a number of features, including intrusive thoughts and repeated che...Background: Given that on the one side considerable similarities between hypochondriasis and obsessive- compulsive disorder (OCD) by means of sharing a number of features, including intrusive thoughts and repeated checking (Barsky, 1992), on the other side similar structural neuroimaging data that found hypochondriac patients to have significantly smaller mean left and right OFC, and greater left thalamus volumes compared to those of healthy controls. Aims: We considered to investigate the hippocampal neurochemicals, found changed in OCD patients, in hypochondriac patients. Methods: Fifteen patients with hypochondriasis, recruited from our out- or in-patient clinics, were compared with 15 healthy control comparisons in regard to proton magnetic resonance spectroscopy (1H-MRS) imaging of hippocampus. Results: The patients with hypochondriasis had lower right and left NAA/CHO, and NAA/CRE, and near-significant lower right CHO/CRE hippocampal ratios than healthy matched comparison subjects. Conclusion: The data of the present investigation in patients with hypochondriasis provide preliminary evidence of lower right and left NAA/CHO, and NAA/CRE, near-significant lower right CHO/CRE hippocampal ratios, revealing neurochemical alterations in hippocampus and a further support the notion that hypochondriasis shares a variety of neurobiological similarities with OCD.展开更多
文摘Objective: This study examined retrospectively the relationship between premenstrual symptoms and health anxiety. Methods: Premenstrual symptoms of nursing school graduates were assessed in 1985 and again in 1991 using the Premenstrual Assessment Form (PAF). A total of 571 women completed the survey in 1991, along with items relating to their physical and mental health. The latter included depression, anxiety, and panic attacks. Health anxiety was also assessed using the Whiteley Index (WI). After women who were amenorrheic for any reason were excluded, a final sample of 410 women aged 25 to 52 years was obtained. Factor analyses yielded 57 items that were useful for calculating a total PAF score. A stepwise multivariate linear regression model was used to find the association of PAF scores with various participant characteristics. Results: Thirty-kone of the 410 (7.6%) women had WI scores of ≥5 and were considered to have significant health-related anxiety. The PAF score had statistically significant associations with health anxiety, as well as depression and anxiety. Conclusions: Our results suggest that the premenstrual symptoms often coexist with health anxiety as well as other psychological symptoms. Clinicians should be alert to the fact that PMS may be associated with treatable psychiatric conditions.
文摘目的了解医科院校大学生的负性情绪水平和疑病倾向以及单次指导性音乐想象对疑病倾向的干预作用。方法于2022年5月在广州某所医科大学抽取196名在读大学生,采用突发性公共卫生事件心理问卷(psychological questionnaires for emergent events of public health,PQEEPH)和明尼苏达多相人格测试-疑病量表(Minnesota multiphasic personality inventory-hypochondriasis subscale,MMPI-Hs)分别测量负性情绪(包含5个维度:抑郁、神经衰弱、恐惧、强迫-焦虑和疑病)和疑病水平,并根据MMPI-Hs分数选取30名被试者运用指导性音乐想象技术进行单次干预。结果医科院校大学生负性情绪和疑病水平较低,PQEEPH测得的5维度均值均<1分,MMPI-Hs测得的疑病T分为(49.47±9.32)分,医学专业学生的强迫-焦虑[(0.36±0.45)分]及疑病得分[(50.85±9.42)分]均高于非医学专业学生[(0.25±0.32)、(48.03±9.03)分],差异均有统计学意义(均P<0.05);单次指导性音乐想象对负性情绪有改善作用,表现为大学生的恐惧分数在干预后[(0.64±0.51)分]对比干预前[(0.79±0.54)分]有下降趋势,但差异无统计学意义(P>0.05);单次指导性音乐想象对医学专业学生的疑病倾向干预效果显著,前后测差异有统计学意义(P<0.05),对非医学专业学生干预效果不显著,前后测差异无统计学意义(P>0.05)。结论医科院校大学生的负性情绪与疑病水平较低,单次指导性音乐想象对负性情绪有改善作用,对疑病倾向有显著干预作用。采用指导性音乐想象干预方法加强大学生心理健康具有潜在价值,但仍需更严谨的研究设计来验证其干预效果。
文摘Background: Given that on the one side considerable similarities between hypochondriasis and obsessive- compulsive disorder (OCD) by means of sharing a number of features, including intrusive thoughts and repeated checking (Barsky, 1992), on the other side similar structural neuroimaging data that found hypochondriac patients to have significantly smaller mean left and right OFC, and greater left thalamus volumes compared to those of healthy controls. Aims: We considered to investigate the hippocampal neurochemicals, found changed in OCD patients, in hypochondriac patients. Methods: Fifteen patients with hypochondriasis, recruited from our out- or in-patient clinics, were compared with 15 healthy control comparisons in regard to proton magnetic resonance spectroscopy (1H-MRS) imaging of hippocampus. Results: The patients with hypochondriasis had lower right and left NAA/CHO, and NAA/CRE, and near-significant lower right CHO/CRE hippocampal ratios than healthy matched comparison subjects. Conclusion: The data of the present investigation in patients with hypochondriasis provide preliminary evidence of lower right and left NAA/CHO, and NAA/CRE, near-significant lower right CHO/CRE hippocampal ratios, revealing neurochemical alterations in hippocampus and a further support the notion that hypochondriasis shares a variety of neurobiological similarities with OCD.
