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[多囊卵巢综合征患者的精神障碍与人格特征]

[Mental disorders and personality characteristics of patients with polycystic ovary syndrome].

作者信息

Ilina N A, Bobrov A E, Dovzhenko T V, Grodnitskaya E E

机构信息

LLC «Granat MC», Moscow, Russia.

Serbsky National Medical Research Centre of Psychiatry and Narcology, Moscow, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2022;122(4):87-93. doi: 10.17116/jnevro202212204187.

Abstract

OBJECTIVE

To study the frequency and clinical manifestations of mental disorders in women with polycystic ovary syndrome (PCOS), to describe the personality characteristics and basic behavioral styles of these patients.

MATERIAL AND METHODS

One hundred and sixteen women with PCOS were examined, the average age was 26.9±4.1 years. The diagnosis of PCOS was verified by a gynecologist based on the ESHRE/ASRM criteria, the qualification of the mental state was carried out by a psychiatrist based on the ICD-10 criteria. MMPI and 16-PF were used to assess personality characteristics.

RESULTS

Mental disorders were diagnosed in 76 (65.5%) patients. Generalized anxiety disorder (26.7%), recurrent depression (19.8%) and bipolar affective disorder (14.7%) were prevailed. A psychological study of the PCOS patients identified four main behavioral styles: anxiety-depressive (=18, 22.5%), masculine (=18, 22.5%), hyperthymic (=25, 31.3%) and sensitive (=19, 23.7%). Anxiety-depressive and sensitive styles were most frequently combined with mental disorders.

CONCLUSION

Women with PCOS have an increased risk of developing mental disorders, which indicates the need to connect psychological and psychiatric support to their medical management.

摘要

目的

研究多囊卵巢综合征(PCOS)女性精神障碍的发生率及临床表现,描述这些患者的人格特征和基本行为方式。

材料与方法

对116例PCOS女性进行检查,平均年龄为26.9±4.1岁。妇科医生根据ESHRE/ASRM标准确诊PCOS,精神科医生根据ICD - 10标准评估精神状态。采用明尼苏达多项人格调查表(MMPI)和卡特尔16种人格因素问卷(16 - PF)评估人格特征。

结果

76例(65.5%)患者被诊断为精神障碍。广泛性焦虑障碍(26.7%)、复发性抑郁症(19.8%)和双相情感障碍(14.7%)最为常见。对PCOS患者的心理学研究确定了四种主要行为方式:焦虑 - 抑郁型(=18例,22.5%)、男性化型(=18例,22.5%)、情绪高涨型(=25例,31.3%)和敏感型(=19例,23.7%)。焦虑 - 抑郁型和敏感型最常与精神障碍合并出现。

结论

PCOS女性患精神障碍的风险增加,这表明在其医疗管理中需要结合心理和精神科支持。

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