初中生流行性癔症调查  

Surveys of epidemic hysteria in junior middle school students

作　　者：周锦泉[1] 董再文[1] 周雪[1] 李学智[1] 寸金芝[1] 曾学娟 

机构地区：[1]大理州第二人民医院,云南·大理671000

出　　处：《临床心身疾病杂志》2015年第3期108-110,118,共4页Journal of Clinical Psychosomatic Diseases

摘　　要：目的：探讨初中生流行性癔症的原因与特点。方法采用流行病调查、卫生学监测、流行性癔症诊断和处理方法，分析34例流行性癔症的临床资料及发病原因。结果本次初中生癔症发病率为6．3％，男女比例为1：4．67；男生发病率为2．45％，女生发病率为9．56％，女生显著高于男生（ P＜0．01）；≥14岁学生发病率高于其他两个年龄段的学生，≥14岁女生发病率显著高于同龄男生（P＜0．01）。癔症患者均为在校发病，发作地点多为教室和操场，发作时周围均有人，临床表现大致相同，急性反复发作，无夜间发作病例。结论流行性癔症的发病与特定的环境、心理暗示和个体认知能力有关，临床表现特殊，应早诊断早干预，特别应加强青春期女生的心理辅导。Objective To explore the causes and features of epidemic hysteria （EH） in junior middle school （JMS） students .Methods Clinical data and causes of 34 EH patients were analyzed using epidemiological study ,hygienic monito‐ring ,diagnosis and treatment of epidemic hysteria .Results The EH incidence in JMS students was 6 .3% ,the proportion of boy to girl was 1 ：4 .67 ;boy incidence was 2 .45% and girl 9 .56% ,the latter was significantly than the latter （P〈 0 .01）;the incidence of students aged ≥ 14 was higher than that of ones with other 2 age groups ,that of girls aged ≥ 14 was sig‐nificantly higher than that of age‐matched boys（P〈 0 .01） .EH patients all attacked at school ,attack places were classroom and playground ,there were persons in all attack scenes ,their clinical manifestations were the same approximately ,attacks were acute and recurrent ,and there was no night attack .Conclusion T he onset of epidemic hysteria is related to specified environment ,psychological suggestion and individual cognitive ability ,clinical manifestations are special ,early diagnosis and intervention should be given to them ,especially psychological counseling to schoolgirls .

关 键 词：流行性癔症 初中生 女生 周围环境 暗示性 

分 类 号：R749.73[医药卫生—神经病学与精神病学]