Sobański Jerzy A, Skalski Michał, Gołąbek Tomasz, Świerkosz Agata, Przydacz Mikołaj, Klasa Katarzyna, Rutkowski Krzysztof, Dembińska Edyta, Mielimąka Michał, Cyranka Katarzyna, Chłosta Piotr L, Dudek Dominika
Katedra Psychoterapii UJ CM.
Klinika Psychiatrii Dorosłych Szpitala Uniwersyteckiego w Krakowie.
Psychiatr Pol. 2016 Dec 23;50(6):1181-1205. doi: 10.12740/PP/OnlineFirst/61109.
To assess the occurrence of selected lower urinary tract symptoms in the population of patients with neurotic and personality disorders.
This was a retrospective analysis of occurrence, co-existence and severity of two selected lower urinary tract symptoms in 3,929 patients in a day hospital for neurotic disorders. The KO "O" symptom checklist was used to measure the study variables.
Although the symptoms associated with micturition are not the most prevalent symptoms of neurotic disorders, neither are they the most typical ones, the prevalence of urinary frequency referring to the last week before psychotherapy evaluated among the patients of a day hospital, was approximately 50%. Involuntary micturition, a symptom with a significant implication on the self-esteem and social functioning was much less common; it was reported by approximately 5% relatively healthy and young group of patients. Major bother from urinary frequency was reported by 9-14% of patients, whereas from involuntary micturition by only 0.6%-1% of the surveyed patients.
Selected urological symptoms seem to be prevalent among the patients with neurotic and personality disorders, and are independent of the specific diagnosis or patients' gender. Their co-existence with other symptoms of neurotic disorders reported by the patients indicates their strongest relationship with the somatoform, dissociative, sexual and agoraphobic disorders.
评估神经症和人格障碍患者群体中特定下尿路症状的发生率。
这是一项对日间医院3929例神经症患者中两种特定下尿路症状的发生率、共存情况及严重程度的回顾性分析。使用KO“O”症状清单来测量研究变量。
尽管与排尿相关的症状并非神经症最常见的症状，也不是最典型的症状，但在日间医院患者中，评估的心理治疗前最后一周的尿频患病率约为50%。非自主性排尿这种对自尊和社会功能有重大影响的症状则要少见得多；在相对健康和年轻的患者群体中，报告该症状的比例约为5%。9% - 14%的患者报告尿频带来较大困扰，而在接受调查的患者中，只有0.6% - 1%的患者报告非自主性排尿带来困扰。
特定的泌尿系统症状似乎在神经症和人格障碍患者中普遍存在，且与具体诊断或患者性别无关。这些症状与患者报告的神经症其他症状共存，表明它们与躯体形式障碍、分离性障碍、性功能障碍和广场恐惧症关系最为密切。
