Thiam M H, Gueye M
Service de Psychiatrie, CHU de Fann, Dakar, Sénégal.
Dakar Med. 1998;43(1):41-4.
This work was done at the Psychiatry Service of CHU of Fann in Dakar during the year 1994. It is a transversal study made by inquiry on the basis of a questionnaire centered on the clinical description and the starting factors in a population of 1025 adult-patients, received on external consultation. It enabled its authors to realize that hysteria was the second cause of consultation after schizophrenias. The starting factors of troubles are mainly conflicts (disturbance of inter-personal relationship) in 49.6% of the cases, and difficulties of daily life, causing annoyance and stress. On the clinical level, polymorphism of the hysterical signs has been found out as much in the level of paroxysmal signs, as in the level of lasting signs. The frequency of big Charcot attacks, often considered as unusual, has been observed in this study in 10% of the patients. Moreover, on the level of the personality structure, only 103 patients have been identified (i.e. 85.1%) to have shown a hysterical personality type.
这项工作于1994年在达喀尔法恩大学医院的精神科完成。这是一项横断面研究，通过基于一份以临床描述和起始因素为中心的问卷进行调查，该问卷针对的是1025名接受门诊咨询的成年患者群体。研究作者由此意识到，癔症是继精神分裂症之后的第二大咨询原因。疾病的起始因素主要是冲突（人际关系紊乱），占49.6%的病例，还有日常生活中的困难，会引起烦恼和压力。在临床层面，无论是阵发性症状还是持续性症状层面，都发现了癔症症状的多态性。在本研究中，常被认为不常见的大的夏科氏发作在10%的患者中被观察到。此外，在人格结构层面，只有103名患者（即85.1%）被确定表现出癔症人格类型。
