原发性手掌多汗症患者人格特征的调查与分析：一项横断面观察性研究。

Investigation and analysis of personality characteristics of primary palmar hyperhidrosis patients: a cross-sectional observational study.

作者信息

Wang Xiaoyu, Meng Shushi, Huang Yuqing, Chen Jun

机构信息

Department of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, China.

Department of Thoracic Surgery, Beijing Haidian Hospital, No. 29, Zhongguancun Street, Haidian District, Beijing, 100190, China.

出版信息

Eur J Med Res. 2025 Apr 23;30(1):323. doi: 10.1186/s40001-025-02575-7.

DOI:10.1186/s40001-025-02575-7

PMID:40269968

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12020067/

Abstract

BACKGROUND

Patients with primary palmar hyperhidrosis (PPH) may exhibit distinct personality traits that influence their perception of the condition. These traits can manifest as heightened sensitivity to physical symptoms, as well as feelings of anxiety or depression, especially in social settings.

METHODS

This study is a retrospective cross-sectional observational study aimed to evaluate and analyze the personality characteristics of patients with primary palmar hyperhidrosis using the Personality Diagnostic Questionnaire-Version 4 (PDQ-4). This study explored the relationships between personality traits and various factors, including age, gender, body mass index (BMI), onset age, the age when symptoms began to impact daily life (Impact age), the choice of thoracic sympathectomy nerve segment, and postoperative satisfaction. The study enrolled primary palmar hyperhidrosis patients treated at the Thoracic Surgery Department of Beijing Haidian Hospital between 2016 and 2021, with a total of 791 patients meeting the inclusion criteria. Statistical analyses, such as the Chi-square test and Mann-Whitney U-test, were conducted using SPSS 26.0 to investigate associations between personality traits and various variables.

RESULTS

Primary palmar hyperhidrosis patients exhibited a higher prevalence of personality disorders at 16.18% compared to the general population, which ranges from 6.1 to 9.5%. Male patients exhibited a statistically significantly higher prevalence of schizoid, narcissistic, and antisocial personality disorders compared to female patients (P < 0.05). Furthermore, postoperative satisfaction among patients with primary palmar hyperhidrosis declined over time, with a statistically significant difference (P < 0.05). Notably, primary palmar hyperhidrosis patient comorbid personality disorders experienced a more pronounced decline in satisfaction.

CONCLUSIONS

Patients with primary palmar hyperhidrosis demonstrate a relatively high prevalence of personality disorders.

摘要

背景

原发性手掌多汗症（PPH）患者可能表现出独特的人格特质，这些特质会影响他们对病情的认知。这些特质可表现为对身体症状的高度敏感，以及焦虑或抑郁情绪，尤其是在社交场合。

方法

本研究是一项回顾性横断面观察研究，旨在使用人格诊断问卷第4版（PDQ-4）评估和分析原发性手掌多汗症患者的人格特征。本研究探讨了人格特质与各种因素之间的关系，包括年龄、性别、体重指数（BMI）、发病年龄、症状开始影响日常生活的年龄（影响年龄）、胸交感神经切除术神经节段的选择以及术后满意度。该研究纳入了2016年至2021年在北京海淀医院胸外科接受治疗的原发性手掌多汗症患者，共有791例患者符合纳入标准。使用SPSS 26.0进行卡方检验和曼-惠特尼U检验等统计分析，以研究人格特质与各种变量之间的关联。

结果

原发性手掌多汗症患者人格障碍的患病率为16.18%，高于一般人群（6.1%至9.5%）。男性患者的分裂样、自恋和反社会人格障碍患病率在统计学上显著高于女性患者（P < 0.05）。此外，原发性手掌多汗症患者的术后满意度随时间下降，差异有统计学意义（P < 0.05）。值得注意的是，原发性手掌多汗症合并人格障碍的患者满意度下降更为明显。