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目的:探讨精神方面的原因在慢性头疼疾病中的意义,开拓治疗新的思维。方法:调查相关生活事件状况及临床表现,结合症状自评量表(SCL-90),汉密尔顿抑郁量表(HAMD24),汉密尔顿焦虑量表(HAMA)评定精神症状及严重程度。采用明尼苏达个性调查表(MMPI)评定个性特点。结果:32例慢性头疼患者,有持续应激性生活事件78.1%。每个患者均有各种不同精神症状和躯体症状。个性调查(MMPI),二点编码法13/31、23/32、12/21、17/71、37/73型集中。因子分中有31例患者(96%)抑郁、疑病、癔症、神经衰弱的得分高于60分。结论:慢性头疼的发病与个性特质,部分与持续应激性生活事件有关。某些慢性头疼是精神疾病的症状之一。患者对疾病的认知与非精神科医生对疾病的认识不够是疾病得不到及时精神干预的重要原因之一。
Aims: To explore the significance of mental factors in chronic headache and explore new ways of thinking. Methods: The related life events and clinical manifestations were investigated. The symptoms and severity were assessed by SCL-90, Hamilton Depression Rating Scale (HAMD) and Hamilton Anxiety Scale (HAMA). Using Minnesota personality questionnaire (MMPI) to assess personality traits. Results: Of the 32 patients with chronic headache, 78.1% had persistent stressful life events. Each patient has a variety of different psychiatric symptoms and somatic symptoms. Personality Survey (MMPI), two-point coding method 13/31, 23/32, 12/21, 17/71, 37/73 type concentration. There were 31 patients (96%) in the factor score of depression, suspicion, hysteria, and neurasthenia scores higher than 60 points. Conclusions: The incidence and personality traits of chronic headaches are partly related to ongoing stressful life events. Some chronic headaches are one of the symptoms of mental illness. Patients with the disease awareness and non-psychiatrist understanding of the disease is not enough to timely mental illness one of the important reasons for mental intervention.