Webberley M J, Cuschieri A
Br Med J (Clin Res Ed). 1982 Jul 24;285(6337):251-2. doi: 10.1136/bmj.285.6337.251.
The influence of personality traits on the reaction of patients to upper gastrointestinal endoscopy was studied prospectively in 86 patients. High N (neuroticism) scores on the Eysenck personality inventory were associated with poor tolerance to and future compliance with the procedure. Although premedication with diazepam did not affect the degree of discomfort and distress during the procedure, it guaranteed acceptance of repeat endoscopy by virtue of its strong amnesic effect. By contrast, not giving premedication to patients who were anxious and had high N scores jeopardized future compliance. These findings suggest that a version of the Eysenck personality inventory should be used to assess patients' neurotic phenotype and their need for premedication before endoscopy. Alternatively, all patients might be given premedication.
对86例患者进行了前瞻性研究，以探讨人格特质对患者接受上消化道内镜检查反应的影响。艾森克人格问卷中高N（神经质）得分与对该检查的耐受性差及未来依从性不佳有关。尽管使用地西泮进行术前用药并未影响检查过程中的不适和痛苦程度，但因其强大的遗忘作用，保证了患者接受重复内镜检查。相比之下，不给焦虑且N得分高的患者术前用药会危及未来的依从性。这些发现表明，应使用艾森克人格问卷的一个版本来评估患者的神经质表型及其在内镜检查前对术前用药的需求。或者，所有患者都可以给予术前用药。
