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慢性前列腺炎患者的精神障碍

Psychic disturbances in patients with chronic prostatis.

作者信息

Keltikangas-Järvinen L, Järvinen H, Lehtonen T

出版信息

Ann Clin Res. 1981 Feb;13(1):45-9.

PMID:7195683
Abstract

A psychological study, which included personality testing (BDI, MMPI, RO, TAT), was performed on 42 patients with clinical symptoms of chronic prostatitis. The patients were characterized by prolonged symptoms and poor response to treatment by general practitioners. Some degree of psychic difficulty was revealed in 80% of the patients, and signs of severe psychic disturbance in 20 to 50%. The outstanding psychic symptoms were anxiety, depression, affect-lability, weak masculine identity and other sexual disorders, and even psychotic features. This pattern of psychic disorders corresponds with that described for borderline personality. The common occurrence of specific psychic and sexual disturbances suggests that these psychic factors may have a causative role in chronic prostatitis.

摘要

对42例有慢性前列腺炎临床症状的患者进行了一项心理学研究,其中包括人格测试(贝克抑郁量表、明尼苏达多相人格调查表、罗夏墨迹测验、主题统觉测验)。这些患者的特点是症状持续时间长,全科医生治疗效果不佳。80%的患者存在一定程度的心理障碍,20%至50%的患者有严重心理障碍的迹象。突出的心理症状包括焦虑、抑郁、情绪易激惹、男性身份认同薄弱和其他性功能障碍,甚至出现精神病性特征。这种心理障碍模式与边缘型人格所描述的模式相符。特定心理和性功能障碍的普遍存在表明,这些心理因素可能在慢性前列腺炎中起病因作用。

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