女性性病疑病症患者的心理分析及心理综合疗法探讨  

Psychological analysis and comprehensive treatment of female venereal hypochondriac patients

作　　者：张萍[1] 李万斌 

机构地区：[1]湖北中医药高等专科学校附属古城医院妇科,湖北荆州434020 [2]荆州市中医院妇科,湖北荆州434000

出　　处：《中国性科学》2016年第1期144-146,共3页Chinese Journal of Human Sexuality

摘　　要：目的:探讨分析女性性病疑病症患者的心理以及采取心理综合疗法的临床效果。方法:选取2012年1月至2014年1月来我院治疗性病疑难病的女性患者80例进行分析治疗。用精神自评量表和抑郁量表对80例性病疑病症患者进行心理评估,采用森田疗法为主要治疗方法的心理综合疗法对80例患者进行治疗,测量治疗前后患者外周血中5-羟色胺和去甲肾上腺素水平,进行对比分析,总结综合疗法的治疗效果。结果:80例患者按照精神卫生自评量表分为,混合型30例,强迫症型20例,疑病症型15例,恐惧症型15例。治疗有效率为91.25%,治疗后精神自评量表和抑郁量表指标明显下降,5-羟色胺和去甲肾上腺素水平较治疗前有明显升高。P<0.05表示有统计学意义。结论:性病疑病症患者以混合型心理障碍为主,其次就是强迫症型,用森田疗法为主要治疗方法的综合疗法,能够提高患者的心理治疗水平。Objectives：To study the psychology of female venereal hypochondriac patients and the clinical effect of comprehensive treatment.Methods：80 female venereal hypochondriac patients in our hospital from 2012 to 2014 were selected and evaluated with mental self-rating scale and depression scale and treated with the morita therapy as the main treatment methods.Levels of serotonin and norepinephrine in peripheral blood before and after treatment were measured and compared to summarize the therapeutic effect of comprehensive treatment.Results：The 80 patients,in accordance with the mental self-rating scale,were divided into mixed type（ 30 cases）,compulsive type（ 20 cases）,hypochondriac type（ 15 cases） and phobia type（ 15 cases）.The effective rate was91.25%.After treatment,the indictor scores of mental self-rating scale and depression scale declined obviously,and serotonin and norepinephrine levels increased significantly with statistically significant difference（ P〈 0.05）.Conclusions：The majority of female venereal hypochondriac patients are missed type,followed by compulsive type,and comprehensive treatment（ mainly morita therapy） is conducive to patient＇s psychological treatment.

关 键 词：性病疑难病 女性患者 心理分析 综合疗法 

分 类 号：R167[医药卫生—公共卫生与预防医学]