医疗美容门诊咨询者的焦虑症状和人格障碍  

Anxiety symptom and personality disorder among medical aesthetic clients

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作  者:孙艺谋 徐沛琳 刘肇瑞[2] 张婷婷[2] 黄悦勤[2] 李比[1] SUN Yimou;XU Peilin;LIU Zhaorui;ZHANG Tingting;HUANG Yueqin;LI Bi(Department of Plastic Surgery,Peking University Third Hospital,Beijing 100191,China;Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100083,China)

机构地区:[1]北京大学第三医院成形科,北京100191 [2]北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100083

出  处:《中国心理卫生杂志》2024年第3期225-231,共7页Chinese Mental Health Journal

摘  要:目的:描述医疗美容门诊咨询者焦虑症状和人格障碍阳性率,探讨医疗美容咨询者焦虑症状的相关因素。方法:选取2021年11月-2023年7月期间在北京某三甲医院成形外科针对各部位进行医疗美容手术咨询的788名来访者,采用人格诊断问卷第4版(PDQ-4)和焦虑自评量表(SAS)作为调查工具,分别以42分和50分为阳性界值筛查其是否存在人格障碍和焦虑症状。采用方差分析、χ^(2)检验、多重线性回归和logistic回归的方法进行统计分析。结果:本研究中医疗美容门诊咨询者焦虑症状阳性率为15.23%(120/788),人格障碍阳性率为3.50%(28/788)。年龄与SAS量表得分负关联(β=-0.82,P=0.009),PDQ-4量表得分与SAS量表得分正关联(β=0.15,P<0.001),眼整形、面部轮廓整形、微创整形与SAS量表得分正关联(β=2.00~3.64,P<0.05)。结论:医疗美容门诊咨询者年龄越小和人格偏离越突出,焦虑症状越严重。眼整形、面部轮廓整形、微创整形的咨询者焦虑症状更严重。Objective:To describe the prevalence of anxiety symptom and personality disorder among medical aesthetic clients,and explore related factors of anxiety symptoms among them.Methods:Totally 788 clients who consulted in a cosmetic plastic surgery department were recruited in a tertiary hospital in Beijing from November 2021 to July 2023.Using the Personality Diagnostic Questionnaire-4(PDQ-4)and the Self-Rating Anxiety Scale(SAS)as assessment instruments,with a cutoff point of 42 and 50 points respectively,for screening out personality disorder and anxiety symptom.Statistical analysis was conducted by analysis of variance,chi-square tests,multivariate linear regression and logistic regression.Results:The rate of anxiety symptom among the medical aesthetic clients was of 15.23%(120/788),and the prevalence of personality disorder was 3.50%(28/788).Age was negatively associated with SAS scores(β=-0.82,P=0.009),PDQ-4 score was positively associated with SAS score(β=0.15,P<0.001),eye plastic surgery,facial contouring and minimally invasive plastic surgery were positively associated with SAS score(β=2.00-3.64,P<0.05).Conclusion:The younger and the more prominent the personality dysfunction the clients are,the severer anxiety symptom they have.The clients who consult for eye plastic surgery,facial contouring,and minimally invasive plastic surgery have severer anxiety symptom.

关 键 词:医疗美容 焦虑症状 人格障碍 

分 类 号:R749.72[医药卫生—神经病学与精神病学] B848.9[医药卫生—临床医学]

 

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