Mans E J, Kühn A G, Lamprecht-Dinnesen A
Klinisches Institut, Heinrich-Heine-Universität Düsseldorf.
HNO. 1992 Sep;40(9):346-51.
In a prospective study, 33 patients with vocal cord granulomas were seen in a psychosomatic interview and given questionnaires. Results showed the significance of psychosomatic factors in the occurrence of vocal cord granulomas. Psycho-social stress situations, particularly in private lives, and losses of emotionally significant persons were of prime importance. Two types of personalities--a narcissistic and a psychosomatic type--were represented about equally. In the personality structure of the patients, compulsive behavior was diagnosed most frequently while depressive features occurred to a lesser degree. Supportive and expressive psychotherapy was indicated in two thirds of the cases.
在一项前瞻性研究中，对33例声带肉芽肿患者进行了身心访谈并发放问卷。结果显示身心因素在声带肉芽肿发生中的重要性。心理社会应激情况，尤其是在私人生活中，以及情感上重要人物的丧失至关重要。两种人格类型——自恋型和身心型——的出现频率大致相同。在患者的人格结构中，强迫行为的诊断最为常见，而抑郁特征的出现程度较轻。三分之二的病例需要支持性和表达性心理治疗。
