Skalski Michał, Sobański Jerzy A, Golabek Tomasz, Świerkosz Agata, Klasa Katarzyna, Przydacz Mikołaj, Rutkowski Krzysztof, Dembińska Edyta, Mielimąka Michał, Cyranka Katarzyna, Chłosta Piotr, Dudek Dominika
Klinika Psychiatrii Dorosłych Szpitala Uniwersyteckiego w Krakowie.
Katedra Psychoterapii UJ CM.
Psychiatr Pol. 2016 Dec 23;50(6):1207-1234. doi: 10.12740/PP/61583.
To assess the correlation of subjectively estimated biographical context and lower urinary tract symptoms reported by patients with neurotic and personality disorders.
This was a retrospective analysis of the biographical context of co-existence of urinary frequency and urinary incontinence reported by 3,929 patients in a day hospital for treatment of neurotic disorders. The symptom checklists KO "0" were completed by patients prior to any treatment.
Urinary frequency reported by patients in a day hospital for treatment of neurotic disorders was associated with the difficulties from their childhood and adolescence (i.e. with perception of inferiority with regard to one's family and among siblings, parents' low education level), as well as the disparities in terms of sexual education and troubled relationships.
In the studied group of patients with neurotic and personality disorders, selected lower urinary tract symptoms were associated with adverse life circumstances from childhood and adolescence (which can show the tendency towards regression and protracted character to experience of family's dysfunction due to feeling of being neglected or abandoned), as well as, to a larger or a smaller degree, their consequences - dysfunctions in adulthood, relationship/marriage, functioning at work and dealing with finances. These associations indicated the probable significance of experiencing these aspects of life in patients, not only in day hospitals or psychiatric hospitals which reported "pseudo-urological complaints", but also in at least part of urological patients - going to hospitals due to neurotic disorders, particularly those occurring in a somatic form.
评估神经症和人格障碍患者主观估计的个人经历背景与报告的下尿路症状之间的相关性。
这是一项对日间医院3929名接受神经症治疗患者报告的尿频和尿失禁并存的个人经历背景的回顾性分析。症状检查表KO“0”由患者在任何治疗前完成。
日间医院接受神经症治疗的患者报告的尿频与他们童年和青少年时期的困难有关（即对自己家庭和兄弟姐妹中的自卑感、父母教育水平低），以及性教育方面的差异和困扰的人际关系。
在研究的神经症和人格障碍患者组中，选定的下尿路症状与童年和青少年时期的不良生活环境有关（这可能显示出由于被忽视或被抛弃的感觉而倾向于回归和长期存在对家庭功能障碍的体验），以及在或多或少的程度上，其后果——成年后的功能障碍、人际关系/婚姻、工作中的表现和理财。这些关联表明，经历生活的这些方面在患者中可能具有重要意义，不仅在报告“假性泌尿系统症状”的日间医院或精神病医院中如此，而且在至少部分泌尿系统患者中也是如此——因神经症疾病前往医院就诊的患者，尤其是那些以躯体形式出现的患者。
