斑禿患者的心理健康狀況評(píng)估及干預(yù)治療
發(fā)布時(shí)間：2018-11-16 07:47
【摘要】： 斑禿被認(rèn)為是一種身心疾病,其發(fā)病與遺傳因素、自身免疫功能紊亂、精神因素等相互作用有關(guān)。斑禿全球均可發(fā)病,可以在任何年齡發(fā)病,無(wú)性別、種族差異�，F(xiàn)在,越來(lái)越多的學(xué)者關(guān)注心理因素對(duì)斑禿發(fā)病的影響,并運(yùn)用各種心理評(píng)估量表對(duì)斑禿患者的心理因素及治療療效進(jìn)行評(píng)估。但是在心理健康狀況方面,哪項(xiàng)心理因子與斑禿發(fā)病的相關(guān)性最高,還不得而知。目前,斑禿的治療多種多樣。但是,在國(guó)內(nèi)針對(duì)斑禿患者的心理治療幾乎空白,這已經(jīng)滿足不了斑禿患者的需求。 本研究采用問(wèn)卷調(diào)查對(duì)185例成人斑禿病患者及健康人對(duì)照組(采取1：1對(duì)照)進(jìn)行流行病學(xué)調(diào)查及SCL-90評(píng)估,同時(shí)將斑禿組SCL-90評(píng)估陽(yáng)性的患者,按隨機(jī)化的原則進(jìn)行分組,斑禿對(duì)照組進(jìn)行常規(guī)中西醫(yī)結(jié)合治療,斑禿治療組加用多慮平對(duì)斑禿患者的心理障礙進(jìn)行干預(yù)治療,并于治療后對(duì)治療組和對(duì)照組進(jìn)行SCL-90評(píng)估,應(yīng)用Microsoft Office Excel 2003, SPSS11.0軟件進(jìn)行統(tǒng)計(jì)學(xué)處理分析,以了解斑禿的一般特征、觀察哪一項(xiàng)心理因子與斑禿發(fā)病的相關(guān)性最高,判斷加用多慮平對(duì)斑禿患者的心理障礙治療的療效。 本研究結(jié)果顯示：①研究期間納入觀察的斑禿患者為185例,占同期皮膚科門診量的0.01%,男女發(fā)病比例為1.3：1,發(fā)病年齡從10歲到66歲,男性患者平均發(fā)病年齡為34.45±11.95歲,女性患者平均發(fā)病年齡為34.05±11.97歲,各年齡段男、女發(fā)病年齡比較無(wú)顯著性差異(t=0.156,p0.05)。斑禿發(fā)病大部分集中在21-50歲之間,病程從1周到11年不等,有陽(yáng)性家族史的占11.35%。②斑禿組患者有心理誘因的有137例,占74.05%,除了因工作、學(xué)習(xí)、生活(家事)引起的以外,突發(fā)應(yīng)激事件、長(zhǎng)時(shí)間上網(wǎng)玩游戲、長(zhǎng)期熬夜打牌等應(yīng)引起重視。③斑禿組和健康對(duì)照組SCL-90評(píng)估的總分和陽(yáng)性項(xiàng)目數(shù)的差異有統(tǒng)計(jì)學(xué)意義(t=3.43和5.08,p0.05),說(shuō)明心理因素對(duì)斑禿的發(fā)病有影響。④斑禿組的軀體化(t=2.43,p0.05)、強(qiáng)迫癥狀(t=5.17,p0.05)、人際關(guān)系敏感(t=4.64,p0.05)、抑郁(t=3.17,p0.05)、焦慮(t=2.97,p0.05)、敵對(duì)(t=3.25,p0.05)和偏執(zhí)(t=2.31,p0.05)7項(xiàng)因子與健康對(duì)照組相比有顯著性統(tǒng)計(jì)學(xué)差異,說(shuō)明軀體化、強(qiáng)迫癥狀、人際關(guān)系敏感、抑郁、焦慮、敵對(duì)和偏執(zhí)7項(xiàng)因子對(duì)斑禿的發(fā)病有影響；而恐怖(t=0.00025,p0.05)、精神病性(t=1.72,p0.05)及其他(t=1.03,p0.05)3項(xiàng)因子則無(wú)顯著性統(tǒng)計(jì)學(xué)差異(p0.05),說(shuō)明恐怖、精神病性及其他3項(xiàng)因子對(duì)斑禿的發(fā)病無(wú)影響。⑤在這7項(xiàng)因子中,它們出現(xiàn)的頻率從高到低依次為強(qiáng)迫癥狀因子、敵對(duì)因子、抑郁因子、人際關(guān)系敏感因子、焦慮因子、偏執(zhí)因子、軀體化因子。說(shuō)明強(qiáng)迫癥狀因子與斑禿發(fā)病的相關(guān)性最高,然后依次為敵對(duì)因子、抑郁因子、人際關(guān)系敏感因子、焦慮因子、偏執(zhí)因子和軀體化因子。⑥40例斑禿對(duì)照組患者在治療前后SCL-90評(píng)估結(jié)果比較均無(wú)顯著性統(tǒng)計(jì)學(xué)差異(p0.05),其結(jié)果表明常規(guī)中西醫(yī)結(jié)合治療對(duì)斑禿患者的心理障礙無(wú)治療作用。39例斑禿治療組患者在治療前后總分和陽(yáng)性項(xiàng)目數(shù)有顯著性統(tǒng)計(jì)學(xué)差異(t=8.44和4.62,p0.05),其結(jié)果表明加用多慮平治療對(duì)斑禿患者的心理障礙治療有效,能明顯改善斑禿患者的心理狀態(tài)。39例斑禿治療組患者在治療前后,對(duì)斑禿發(fā)病有影響的7項(xiàng)因子中,強(qiáng)迫癥狀(t=5.06,p0.05)、人際關(guān)系敏感(t=9.17,p0.05)、抑郁(t=3.14,p0.05)、焦慮(t=8.36,p0.05)、敵對(duì)(t=9.34,p0.05)這5項(xiàng)因子有顯著性統(tǒng)計(jì)學(xué)差異,說(shuō)明加用多慮平治療可以改善斑禿患者的強(qiáng)迫癥狀、人際關(guān)系敏感、抑郁、焦慮、敵對(duì)這5項(xiàng)心理因子；而軀體化(t=0.0003,p0.05)和偏執(zhí)(t=0.0042,p0.05)這2項(xiàng)因子無(wú)顯著性統(tǒng)計(jì)學(xué)差異,說(shuō)明在本研究中加用多慮平治療對(duì)軀體化和偏執(zhí)因子無(wú)治療作用。
[Abstract]:Alopecia is considered to be a kind of physical and mental illness, its incidence is related to the genetic factors, the self-immune function disorder, the mental factor and so on. The alopecia areata in the whole world can be developed, and can be developed at any age, without sex and ethnic difference. Now, more and more scholars pay attention to the influence of psychological factors on the incidence of alopecia areata, and evaluate the psychological factors and curative effect of the patients with alopecia areata with various psychological evaluation scales. However, in terms of mental health, which psychological factor is the highest in the incidence of alopecia areunknown. At present, the treatment of alopecia areata is various. However, the treatment of alopecia arealmost blank in the country, which has not been able to meet the needs of the patients with alopecia areata. In this study, the epidemiological investigation and the SCL-90 evaluation of 185 adult patients with alopecia areata and the control group (1: 1 control) were carried out in the control group (1: 1 control). In the treatment group and control group, the psychological disorder of the patients with alopecia areata was treated with conventional traditional Chinese and western medicine, and the SCL-90 evaluation was performed on the treatment group and the control group after the treatment, and the statistics of the software of Microsoft Office Excel 2003 and SPSS11.0 were applied. To study the general characteristics of alopecia areata, the correlation between the mental factors and the incidence of alopecia arethe highest. The results of this study showed that 185 patients with alopecia areata were included in the study, accounting for 0.01% of the outpatients in the same period. The incidence of the male and female patients was 1. 3: 1. The age of the disease was from 10 to 66 years. The average age of the male patients was 34. 45. The average age of the female patients was 34. 05 to 11. 97, and there was no significant difference in the age of male and female in all ages (t = 0.156). The incidence of alopecia aremost concentrated between 21 and 50 years, the course of course was from 1 to 11 years, and there was a positive family history. accounting for 11.35%. There were 137 cases of psychological inducement in the alopecia areata group, accounting for 74.05%. In addition to the cause of work, study and life (family), the sudden stress event, long-time online game play, and long-term stay up The difference of the total score and the number of positive items assessed by the SCL-90 in the bald and healthy controls was statistically significant (t = 3.43 and 5.08, p0.05), indicating the psychological factors to the spot. The somatization of alopecia areata (t = 2.43, p0.05), forced symptom (t = 5.17, p0.05), interpersonal sensitivity (t = 4.64, p0.05), depression (t = 3.17, p0.05), anxiety (t = 2.97, p0.05), hostility (t = 3.25, p0.05) and paranoia (t = 2.31, p0.05) There was no significant difference in the relationship between somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility and paranoia on the incidence of alopecia areata (t = 0.00025, p0.05), psychotic (t = 1.72, p0.05) and others (t = 1.03, p0.05). (p0.05), describing the effects of terror, psychosis, and other three factors on the spot There is no effect on the incidence of alopecia areata. In these seven factors, the frequency of their occurrence is from high to low in order of the forced symptom factor, the hostility factor, the depression factor, the interpersonal sensitivity factor, the anxiety factor, the paranoia. The correlation of obsessive-compulsive symptoms and alopecia arethe highest, and then the factors of hostility, depression, interpersonal sensitivity, anxiety and paranoia. Sub-and somatization factors. There was no significant difference in the results of SCL-90 evaluation before and after treatment in 40 patients with alopecia areata. (p0.05), the results indicated that the traditional Chinese and Western medicine combined treatment had no treatment effect on the psychological barrier of the patients with alopecia areata. (p0.05), the results indicated that the treatment of the psychological disorder of the patients with alopecia areata was effective in the treatment of alopecia areata with the treatment of the treatment of the alopecia areata, and the psychological status of the patients with alopecia areobviously improved. In the treatment group, the symptoms (t = 5.06, p0.05) and the sensitivity of the interpersonal relationship were found in the 7 factors that affected the incidence of alopecia areata before and after the treatment. (t = 9.17, p0.05), depression (t = 3.14, p0.05), anxiety (t = 8.36, p0.05), and hostility (t = 9.34, p0.05). There was no significant difference in the two factors of somatization (t = 0.0003, p0.05) and paranoia (t = 0. 0042, p0.05).
【學(xué)位授予單位】：湖北中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2010
【分類號(hào)】：R758.71
本文編號(hào)：2334904
[Abstract]:Alopecia is considered to be a kind of physical and mental illness, its incidence is related to the genetic factors, the self-immune function disorder, the mental factor and so on. The alopecia areata in the whole world can be developed, and can be developed at any age, without sex and ethnic difference. Now, more and more scholars pay attention to the influence of psychological factors on the incidence of alopecia areata, and evaluate the psychological factors and curative effect of the patients with alopecia areata with various psychological evaluation scales. However, in terms of mental health, which psychological factor is the highest in the incidence of alopecia areunknown. At present, the treatment of alopecia areata is various. However, the treatment of alopecia arealmost blank in the country, which has not been able to meet the needs of the patients with alopecia areata. In this study, the epidemiological investigation and the SCL-90 evaluation of 185 adult patients with alopecia areata and the control group (1: 1 control) were carried out in the control group (1: 1 control). In the treatment group and control group, the psychological disorder of the patients with alopecia areata was treated with conventional traditional Chinese and western medicine, and the SCL-90 evaluation was performed on the treatment group and the control group after the treatment, and the statistics of the software of Microsoft Office Excel 2003 and SPSS11.0 were applied. To study the general characteristics of alopecia areata, the correlation between the mental factors and the incidence of alopecia arethe highest. The results of this study showed that 185 patients with alopecia areata were included in the study, accounting for 0.01% of the outpatients in the same period. The incidence of the male and female patients was 1. 3: 1. The age of the disease was from 10 to 66 years. The average age of the male patients was 34. 45. The average age of the female patients was 34. 05 to 11. 97, and there was no significant difference in the age of male and female in all ages (t = 0.156). The incidence of alopecia aremost concentrated between 21 and 50 years, the course of course was from 1 to 11 years, and there was a positive family history. accounting for 11.35%. There were 137 cases of psychological inducement in the alopecia areata group, accounting for 74.05%. In addition to the cause of work, study and life (family), the sudden stress event, long-time online game play, and long-term stay up The difference of the total score and the number of positive items assessed by the SCL-90 in the bald and healthy controls was statistically significant (t = 3.43 and 5.08, p0.05), indicating the psychological factors to the spot. The somatization of alopecia areata (t = 2.43, p0.05), forced symptom (t = 5.17, p0.05), interpersonal sensitivity (t = 4.64, p0.05), depression (t = 3.17, p0.05), anxiety (t = 2.97, p0.05), hostility (t = 3.25, p0.05) and paranoia (t = 2.31, p0.05) There was no significant difference in the relationship between somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility and paranoia on the incidence of alopecia areata (t = 0.00025, p0.05), psychotic (t = 1.72, p0.05) and others (t = 1.03, p0.05). (p0.05), describing the effects of terror, psychosis, and other three factors on the spot There is no effect on the incidence of alopecia areata. In these seven factors, the frequency of their occurrence is from high to low in order of the forced symptom factor, the hostility factor, the depression factor, the interpersonal sensitivity factor, the anxiety factor, the paranoia. The correlation of obsessive-compulsive symptoms and alopecia arethe highest, and then the factors of hostility, depression, interpersonal sensitivity, anxiety and paranoia. Sub-and somatization factors. There was no significant difference in the results of SCL-90 evaluation before and after treatment in 40 patients with alopecia areata. (p0.05), the results indicated that the traditional Chinese and Western medicine combined treatment had no treatment effect on the psychological barrier of the patients with alopecia areata. (p0.05), the results indicated that the treatment of the psychological disorder of the patients with alopecia areata was effective in the treatment of alopecia areata with the treatment of the treatment of the alopecia areata, and the psychological status of the patients with alopecia areobviously improved. In the treatment group, the symptoms (t = 5.06, p0.05) and the sensitivity of the interpersonal relationship were found in the 7 factors that affected the incidence of alopecia areata before and after the treatment. (t = 9.17, p0.05), depression (t = 3.14, p0.05), anxiety (t = 8.36, p0.05), and hostility (t = 9.34, p0.05). There was no significant difference in the two factors of somatization (t = 0.0003, p0.05) and paranoia (t = 0. 0042, p0.05).
【學(xué)位授予單位】：湖北中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2010
【分類號(hào)】：R758.71
【參考文獻(xiàn)】
相關(guān)期刊論文 前10條
1 張慧琳;李樂(lè)之;;心理社會(huì)因素對(duì)乳腺癌患者影響的研究綜述[J];當(dāng)代護(hù)士(學(xué)術(shù)版);2008年06期
2 王海鶴;劉濤;宋慧麗;;多慮平治療咽異感癥療效觀察[J];中國(guó)耳鼻咽喉頭頸外科;2006年10期
3 王琳,范雪莉;皮膚病患者的生活質(zhì)量測(cè)定:一種實(shí)用性指導(dǎo)[J];國(guó)外醫(yī)學(xué)(皮膚性病學(xué)分冊(cè));1998年06期
4 王曉玲,袁玲玲,趙天恩;皮膚病生活質(zhì)量指數(shù)的研究進(jìn)展[J];國(guó)外醫(yī)學(xué).皮膚性病學(xué)分冊(cè);2004年02期
5 韋燕;龔建忠;陳彥帆;楊師俊;;多慮平配合心理支持治療惡性腫瘤患者焦慮的臨床觀察[J];廣西醫(yī)科大學(xué)學(xué)報(bào);2008年02期
6 程族桁;王奕冉;;團(tuán)體心理輔導(dǎo)對(duì)大學(xué)新生抑郁焦慮癥狀的治療效果研究[J];中國(guó)健康心理學(xué)雜志;2008年08期
7 王磊;范衛(wèi)新;曹蕾;許文嶸;劉莉萍;李子海;尹曉晴;儲(chǔ)小燕;唐唯佳;;脫發(fā)患者生活質(zhì)量調(diào)查[J];臨床皮膚科雜志;2008年07期
8 路云環(huán);李桂霞;范慧英;;心理治療對(duì)銀屑病患者的影響[J];中國(guó)麻風(fēng)皮膚病雜志;2007年11期
9 樓瑋;盛友漁;徐峰;周靜;王俠生;楊勤萍;;171例斑禿患者生活質(zhì)量評(píng)定及其影響因素的分析[J];中國(guó)美容醫(yī)學(xué);2007年11期
10 劉彬,吳宏娟;斑禿發(fā)病的心理社會(huì)因素與人格特征分析[J];南京醫(yī)科大學(xué)學(xué)報(bào)(自然科學(xué)版);2004年04期
，本文編號(hào)：2334904
本文鏈接：http://sikaile.net/yixuelunwen/pifb/2334904.html
最近更新
教材專著
