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卵巢早衰患者的心理评估

Psychological assessment of patients with premature ovarian failure.

作者信息

de Taraciuk Marcela Broner, Nolting Manuel, Fernandez Georgianna, Colela Daniela, Onetto Claudia, Straminsky Vanesa

机构信息

Mental Health Department, Hospital de Clínicas José de San Martín, Medical School, University of Buenos Aires, Buenos Aires, Argentina.

出版信息

Gynecol Endocrinol. 2008 Jan;24(1):44-53. doi: 10.1080/09513590701668866.

Abstract

OBJECTIVE

The objective of the present work was to perform an overall psychological assessment of patients diagnosed with premature ovarian failure, with the aim of studying personality traits and assessing anxiety, depression and psychosocial stress among women suffering from this physical condition.

METHODS

We surveyed 21 patients between 18 and 39 years old. We psychologically assessed the patients with the following techniques: semi-structured interview, Beck Depression Inventory, State-Trait Anxiety Inventory for Adults, Millon Index of Personality Styles, Psychosocial Stress Severity Scale, Human Figure Drawing Test, Two Person Drawing Test, and Rorschach Inkblot Test. The Pearson moment correlation statistic was utilized to appreciate correlation between the variables. To compare the results obtained we used the chi(2) test, the Kolmogorov-Smirnov test and Student's t test. Significance level was set at alpha=0.05.

RESULTS

We found that these patients did not show high levels of depression, but they did show high values of anxiety. Psychosocial stress was higher throughout the year before they lost their menstrual cycles, than during the year before the psychological evaluation. Regarding personality profiles, the following scales stood out from the rest: Actively Modifying, Self-Indulging, Internally Focused, Realistic/Sensing, Feeling-Guided, Dominant/Controlling and Dissatisfied/Complaining.

摘要

目的

本研究旨在对被诊断为卵巢早衰的患者进行全面的心理评估,以研究其人格特质,并评估患有这种身体状况的女性的焦虑、抑郁和心理社会压力。

方法

我们调查了21名年龄在18至39岁之间的患者。我们采用以下技术对患者进行心理评估:半结构化访谈、贝克抑郁量表、成人状态-特质焦虑量表、米隆人格风格指数、心理社会压力严重程度量表、人物画测试、双人画测试和罗夏墨迹测试。使用皮尔逊积矩相关统计量来评估变量之间的相关性。为了比较所得结果,我们使用卡方检验、柯尔莫哥洛夫-斯米尔诺夫检验和学生t检验。显著性水平设定为α = 0.05。

结果

我们发现这些患者没有表现出高水平的抑郁,但他们确实表现出较高的焦虑值。在失去月经周期前的一整年里,心理社会压力高于心理评估前的一整年。关于人格特征,以下量表比其他量表更为突出:积极改变、自我放纵、内心聚焦、现实/感知、情感导向、主导/控制和不满/抱怨。

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