Fagiani M B, Marocco Muttini C, Rabezzana G, Ravizza L, Messina A, Macchi R
Istituto di Clinica Psichiatrica, Università degli Studi, Torino.
Minerva Psichiatr. 1995 Sep;36(3):119-26.
The etiology of Dupuytren's disease, a chronic and depressive lesion of the palmar aponeurosis, is still unclear. Numerous factors have been implicated, including psychopathological elements and a stressor psychosomatic response, possibly in the presence of a personality structure which may represent a diathesis. On the other hand, from a psychosomatic point of view, any psychic correlates could be secondary to somatic damage. In order to look for common psychological and psychopathological elements in the syndrome 39 patients were examined by a team of orthopedics specialised in hand surgery during the period 1990-91. All cases were studied by clinical interview, the evaluation of anamnestic data of possible psychiatric importance and the use of Rorschach and MMPI tests. The data obtained do not confirm that specific personality elements or psychopathological factors can be correlated to the clinical symptoms of Dupuytren's disease given that the results are comparable to what may be considered the characteristics of a non-selected but age- and culturally-matched population. There are only sporadic findings indicating neurotic and depressive factors, or senile involution. Likewise, no reliable and uniform stressing events were observed, or particular signs of maladaptation related to environmental reactivity or the disease itself.
掌腱膜挛缩症是一种手掌腱膜的慢性、进行性病变，其病因尚不清楚。众多因素被认为与之相关，包括精神病理学因素和应激源引发的心身反应，可能还存在一种可视为素质的人格结构。另一方面，从心身医学的角度来看，任何心理关联都可能继发于躯体损害。为了探寻该综合征常见的心理和精神病理学因素，1990年至1991年期间，一个专门从事手外科的骨科团队对39例患者进行了检查。所有病例均通过临床访谈、评估可能具有精神科意义的既往病史资料以及使用罗夏墨迹测验和明尼苏达多项人格测验进行研究。鉴于所得结果与未经过挑选但年龄和文化匹配的人群的特征相当，所获数据并未证实特定的人格因素或精神病理学因素与掌腱膜挛缩症的临床症状相关。仅有零星发现提示存在神经症和抑郁因素，或老年退化。同样，未观察到可靠且一致的应激事件，也未发现与环境反应性或疾病本身相关的特定适应不良迹象。
