【摘要】 目的:评估甲状腺功能亢进症(甲亢)患者131碘治疗前心理健康状况及人格特征,分析其与甲亢发病的关系。方法:采用症状自评量表(SCL-90)、艾克森人格问卷(EPQ)对48例131碘治疗前甲亢患者(甲亢组)进行测量并与40例正常成人(对照组)比较。结果:甲亢组SCL-90在F1(躯体化)、F2(强迫)、F3(人际关系敏感)、F4(抑郁)、F5(焦虑)和F10(其他)因子分显著高于对照组(P<0.05),而F6(敌对)、F7(恐怖)、F8(偏执)和F9(精神病性)因子分和总分及阳性项目数与对照组比较差异有非常显著性(P<0.01)。EPQ测量:甲亢组的精神度(P)和神经质(N)分值显著高于对照组(P<0.05或<0.01),甲亢患者多属于抑郁质(内向不稳定型)人格,而对照组多属于多血质(外向稳定型)和黏液质(内向稳定型)人格特质。结论:甲亢患者总体心理健康状况较差;内向不稳定型人格,神经质的人格特征与甲亢的发病有关。更多还原

【Abstract】 Objective To analyze the mental health status and personality of patients with hyperthyroidism before 131I treatment and analyze their relationship with the pathogenesis of hyperthyroidism.Methods Forty-eight patients with hyperthyroidism and 40 normal controls were evaluated by symptom Checklist 90(SCL-90) and Eysenck personality questionnaire(EPQ).Results The SCL-90 showed that F1,F2,F3,F4,F5,and F10 scores were significantly higher in patients with hyperthyroidism than those in normal controls(P < 0.05),while the others had a more significant difference(P < 0.01).EPQ showed that the spirit(P)(P < 0.05) and neuroticism(N)(P < 0.01)scores of patients with hyperthyroidism were significantly higher than those of normal controls.Most of the patients with hyperthyroidism was depressed personality(within unstable).Conclusions The mental health status of patients with hyperthyroidism was in a bad condition;within unstable personality and the nervous personality were related to the pathogenesis of hyperthyroidism.更多还原