Diamond E L, Trobe J D, Belar C D
J Nerv Ment Dis. 1984 Dec;172(12):749-56. doi: 10.1097/00005053-198412000-00009.
Evaluation of 20 essential blepharospasm patients by using structured interview and psychological testing (MMPI, Rorschach) revealed characteristic pathological personality patterns in all cases. Recent losses or life change, marital conflict, and specific precipitating events were common. Test findings indicated unexpressed hostility, denial, and repression in a majority of women. Three of five men showed evidence of depression. This initial systematic investigation of psychological factors in blepharospasm supports the hypothesis that neurological and psychogenic factors may interact etiologically. The data suggest that personality, recent stress, and precipitating events warrant both clinical assessment and controlled research to determine the specificity and prevalence of these findings.
通过结构化访谈和心理测试（明尼苏达多相人格测验、罗夏墨迹测验）对20例原发性睑痉挛患者进行评估，结果显示所有病例均有特征性的病理人格模式。近期的丧失或生活变化、婚姻冲突以及特定的诱发事件很常见。测试结果表明，大多数女性存在未表达的敌意、否认和压抑。五名男性中有三名有抑郁迹象。这项对睑痉挛心理因素的初步系统研究支持了神经因素和心理因素在病因学上可能相互作用的假说。数据表明，人格、近期压力和诱发事件都需要进行临床评估和对照研究，以确定这些发现的特异性和普遍性。
