易性症乳房切除群体的心理状态研究  

Psychological status of transgender group before and after mastectomy

作　　者：杨杨[1,2] 朱宣儒 古琴妹 周伟豪 齐向东 Yang Yang;Zhu Xuanru;Gu Qinmei;Zhou Weihao;Qi Xiangdong(Graduate School,Guangzhou University of Traditional Chinese Medicine,Guangzhou 510403,China;Department of Plastic Surgery,Guangzhou General Hospital of Guangzhou Military Region,Guangzhou 510010,China;First College of Clinical Medicine,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]广州中医药大学研究生学院,广州510403 [2]解放军南部战区总医院整形外科,广州510010 [3]南方医科大学第一临床医学院,广州510515

出　　处：《中华医学美学美容杂志》2020年第1期16-19,共4页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：蛋白质组学国家重点实验室开放项目(2018YFC0910303);军队后勤科研重点项目(BGZ15J001);广州市科技计划项目(201903010001)。

摘　　要：目的探讨以更换性别为目的行乳房切除术群体与以改善形体美为目的行乳房缩小术群体的心理状态差异。方法2017年1月至2018年12月,于解放军南部战区总医院整形外科诊治的83例乳房整形患者中筛选随访完整的24例女性乳房3层十二维度求美心理评定量表对行乳房切除术和美学乳房缩小术两组(每组12例)24例患者于手术前后进行心理测评,分析两组患者手术前后和两组间患者的心理状态特点。结果美学乳房缩小术组患者手术前后比较,抑郁因子、焦虑因子、强迫症状因子,差异有统计学意义(t=2.194,2.183,2.090;均P<0.05)。乳房切除术前后比较,抑郁因子、焦虑因子、强迫症状因子、恃强性因子、心理自我、生理自我、社会自我,差异有统计学意义(t=4.188,3.730,2.484,2.570,5.898,3.531,3.162,均P<0.05)。乳房切除术组与美学乳房缩小术组比较,术前抑郁因子、焦虑因子、精神病性因子、强迫症状因子、心理自我、生理自我、社会自我,差异有统计学意义(t=2.629,4.081,2.097,4.246,5.419,2.600,2.545;均P<0.05)。乳房切除术组与美学乳房缩小术组比较,术后抑郁因子、焦虑因子、强迫症状因子差异有统计学意义(t=2.117,2.170,3.764;均P<0.05),其他心理测评因子比较,差异无统计学意义。结论整形外科医师应关注易性症患者的心理状态和性格特点,针对性给予心理疏导。Objective To explore the difference of psychological state and the change of psychological state between mastectomy group for the purpose of changing gender identity and breast reduction surgery group for the purpose of improving physical beauty.Methods The psychological evaluation scale of three layers and twelve dimensions was used to evaluate the psychological status of 24 patients who underwent clinical breast masculine surgery and aesthetic breast reduction before and after operation.The psychological characteristics between the two groups before and after operation were compared and analyzed.Data analysis was carried out through Stata 13.0 software package.Results There were significant differences in depression factor,anxiety factor and obsessive-compulsive symptom factor in the aesthetic breast reduction group before and after operation(t=2.194,2.183,2.090;P=0.039,0.040,0.048,P<0.05).There were significant differences in depression factor,anxiety factor,obsessive-compulsive symptom factor,bullying factor,psychological self,physical self and social self before and after mastectomy(t=4.188,3.730,2.484,2.570,5.898,3.531,3.162,P=0.000,0.001,0.021,0.018,0.000,0.002,0.005,P<0.05).There were significant differences in depression,anxiety,psychoticism,obsessive-compulsive symptoms,psychological self,physiological self and social self between mastectomy group and aesthetic mastectomy group before operation.(t=2.629,4.081,2.097,4.246,5.419,2.600,2.545;P=0.015,0.001,0.048,0.000,0.000,0.016,0.018,P<0.05).There was significant difference in postoperative depression,anxiety and obsessive-compulsive symptoms between the mastectomy group and the aesthetic mastectomy group(t=2.117,2.170,3.764;P=0.046,0.041,0.001,P<0.05).Conclusions Plastic surgeons should pay attention to the psychological status and personality characteristics of different beauty seekers and give psychological guidance,which is of great significance to improve the medical experience and surgical effect of the beauty seekers.

关 键 词：心理学 易性症 乳房缩小术 求美心理 心理评定 

分 类 号：R65[医药卫生—外科学]