Mans E J, Kühn A G, Lamprecht-Dinnesen A
Klinisches Institut und Klinik für Psychosomatische Medizin und Psychotherapie, Heinrich-Heine-Universität Düsseldorf.
Laryngorhinootologie. 1993 May;72(5):225-30. doi: 10.1055/s-2007-997889.
Particular features of the personality of patients with vocal cord granuloma have been reported in the literature based on intuitive observation of individual cases in clinical examination. The present study was designed to examine systematically a larger number of patients with vocal cord granuloma by means of a psychosomatic interview and with objective standardised personality inventories. The aim was to investigate characteristics of personality structure, the extent and form of psychosomatic complaints, and the psychosocial self-image of these patients. 33 patients with the diagnosis of vocal cord granuloma participated in the study. They underwent a psychodynamic psychosomatic interview and filled in the Giessen test, a standardized personality inventory, the Giessener Beschwerdebogen, a somatic complaints list, and a social questionnaire. Descriptive statistics were computed. Psychodynamic diagnostics revealed two types of the functional level of personality: narcissistic and psychosomatic structures were almost equally represented. With respect to the drive organisation of personality structure, mainly compulsive and to a lesser extent depressive dominant features were found. The structure of somatic complaints in our patient group with vocal cord granuloma was different from that of the norm population as well as that of a group of psychosomatic-psychoneurotic outpatients. With regard to the extent of somatic complaints, the scores of our patients were in the middle between the norm values and those of psychosomatic patients. In the self-image of their personality and their psychosocial relations, patients with vocal cord granuloma deviated from the values of the norm population in all scales into the direction of the scores of psychosomatic-psychoneurotic outpatients.(ABSTRACT TRUNCATED AT 250 WORDS)
基于临床检查中对个别病例的直观观察，文献中已报道了声带肉芽肿患者的特定人格特征。本研究旨在通过身心访谈和客观标准化人格量表，系统地检查大量声带肉芽肿患者。目的是调查这些患者的人格结构特征、身心症状的程度和形式以及心理社会自我形象。33例诊断为声带肉芽肿的患者参与了该研究。他们接受了心理动力学身心访谈，并填写了吉森测试（一种标准化人格量表）、吉森症状清单（一份躯体症状清单）和一份社会问卷。计算了描述性统计数据。心理动力学诊断揭示了人格功能水平的两种类型：自恋型和身心型结构的表现几乎相同。就人格结构的驱力组织而言，主要发现了强迫性特征，抑郁性主导特征较少。我们声带肉芽肿患者组的躯体症状结构与正常人群以及一组身心 - 精神神经症门诊患者不同。就躯体症状的程度而言，我们患者的得分处于正常人群和身心疾病患者得分之间。在他们的人格自我形象和心理社会关系方面，声带肉芽肿患者在所有量表上都偏离了正常人群的数值，朝着身心 - 精神神经症门诊患者的得分方向发展。（摘要截断于250字）
