Umegaki H, Minami C, Katou H, Kawasaki T, Fukunaga T, Shimizu A
Department of Anesthesia, Hirakata Municipal Hospital.
Masui. 1992 Feb;41(2):200-6.
In order to study the changes of the psychological status during perioperative period, we performed four different psychological tests, Spielberger's rating scale "The State-Trait Anxiety Inventory (STAI)", Self-rating Depression Scale (SDS), Maudsley Personality Inventory (MPI) and Baum test, in 63 patients who received simple total hysterectomy for myoma of uterus. The anxiety ratings showed a significant decrease postoperatively. On the contrary, the SDS index that expresses the level of depressive mood showed no significant change during perioperative period. Moreover the patients who had shown a tendency of nervousness in MPI kept the high level of the SDS index during perioperative period than the other patients who had not shown a tendency of nervousness in MPI. In Baum test, more than 75% of patients manifested psychologic fragility or lability. These results suggest that depressive mood affects strictly the psychological status in postoperative period more than anxiety. We presume that the depressive mood during perioperative period is responsible for the postoperative psychological disturbance.
为了研究围手术期心理状态的变化，我们对63例因子宫肌瘤接受单纯全子宫切除术的患者进行了四项不同的心理测试，即斯皮尔伯格评定量表“状态-特质焦虑问卷（STAI）”、自评抑郁量表（SDS）、莫兹利人格问卷（MPI）和鲍姆测试。焦虑评分术后显著降低。相反，表达抑郁情绪水平的SDS指数在围手术期无显著变化。此外，MPI中表现出神经质倾向的患者在围手术期的SDS指数水平高于MPI中未表现出神经质倾向的其他患者。在鲍姆测试中，超过75%的患者表现出心理脆弱或情绪不稳定。这些结果表明，抑郁情绪比焦虑情绪更严格地影响术后心理状态。我们推测围手术期的抑郁情绪是术后心理障碍的原因。
