Stone C B, Judd G E
Clin Obstet Gynecol. 1978 Sep;21(3):807-15. doi: 10.1097/00003081-197809000-00016.
Gynecologists and other primary care physicians have long recognized the occurrence of psychogenic factors in some patients with urinary incontinence, usually of the urgency or detrusor dyssynergia types. However, to the best of our knowledge this is the first report of psychiatric study of these patients. Eighteen patients were referred following complete gynecologic urology work-up including electronic urethrocystometry and chain cystography. Most of these patients were 40 to 60 years of age, were multiparous, and had had hysterectomies. Major psychiatric findings were a) severe situational problems in all 18 patients, b) chronic depression in 17, and c) hysterical personality traits in 10. Patients whose psychiatric treatment provided some relief of their situational and emotional distress also, concomitantly, had relief of urinary incontinence.
妇科医生和其他初级保健医生早就认识到，在一些尿失禁患者中存在心理因素，这些患者通常属于急迫性或逼尿肌协同失调类型。然而，据我们所知，这是对这些患者进行精神病学研究的首份报告。18名患者在完成包括电子尿道膀胱测压和链式膀胱造影在内的全面妇科泌尿检查后前来就诊。这些患者大多年龄在40至60岁之间，多产，且已接受子宫切除术。主要的精神科检查结果为：a）所有18名患者都存在严重的情境问题；b）17名患者患有慢性抑郁症；c）10名患者具有癔症性人格特质。接受精神科治疗后，其情境和情绪困扰有所缓解的患者，同时其尿失禁症状也得到了缓解。
