Peters F, Richter D, Breckwoldt M
Dtsch Med Wochenschr. 1978 May 26;103(21):898-902. doi: 10.1055/s-0028-1104784.
27 patients with secondary amenorrhoea for 6--20 months were investigated with a gonadorelin (GnRH-)test and a psychoanalytical exploration. Results, which were determined independently of each other, were then correlated. According to the gonadorelin and the gestagen test patients could be allocated to four groups: test group 1 = negative gestagen test, LH peak below 8 ng/ml, test group 2 = positive gestagen test, LH peak below 8 ng/ml, test group 3 = positive gestagen test, LH peak 8--20 ng/ml, test group 4 = positive gestagen test, LH peak 20--37 ng/ml. According to the psychoanalytical exploration two groups of patients could be differentiated. Patients of test group 1 and 2 showed psychosomatic disorders to a greater extent with pronounced associated somatic symptoms and predominantly retentive personality structures. Patients in test groups 3 and 4 showed predominantly associated mental symptoms accompanied by better insight into their own conflicts.
对27例继发性闭经6至20个月的患者进行了促性腺激素释放激素（GnRH）试验和精神分析探索。然后将相互独立确定的结果进行关联分析。根据促性腺激素释放激素和孕激素试验，患者可分为四组：试验组1 = 孕激素试验阴性，促黄体生成素（LH）峰值低于8 ng/ml；试验组2 = 孕激素试验阳性，LH峰值低于8 ng/ml；试验组3 = 孕激素试验阳性，LH峰值8至20 ng/ml；试验组4 = 孕激素试验阳性，LH峰值20至37 ng/ml。根据精神分析探索，可将患者分为两组。试验组1和2的患者在更大程度上表现出身心障碍，伴有明显的相关躯体症状，且主要具有滞留型人格结构。试验组3和4的患者主要表现出相关的精神症状，同时对自身冲突有更好的洞察力。
