摘要
目的：为了定量地了解国人FD患者精神心理因素在发病中所起的作用。方法：采用明尼苏达多相人格测查问卷（MMPI）对78例FD门诊患者和33名健康对照者进行了调查．结果：FD组MMPI异常率为57．7％与对照组9．1％比较差别有非常显著性（P=0．0001）；在疑病、抑郁、癔病、精神病态性偏移、精神衰弱量表上的得分，FD组显著高于对照组，以疑病、癔病量表分数提高尤为突出；FD组MMPI测图曲线较对照组明显上移，呈1，3测图类型。结论：FD患者MMPI测查结果明显不同于正常人，总体病理心理水平增高，提示FD的发病与心理因素有关，对FD的治疗应包括解释、疏导和必要的心理治疗。
Objectives: Functional dyspepsia (FD) is an extremely common gastroenterologic disease. There are quite a few factors involved in its pathogenesis, psychological distress is one of them. Methods: In order to evaluate the role of psychological factors quantitatively in the pathogenesis of FD in Chinese. 78 outpatients with FD and 33 normal controls were investigated using the Minnesota Multiphasic Personality inventory (MMPI). Results: The rate of abnormal MMPI in FD was 57.7%, which was significantly different from 9.1% in normal controls (P=0.0001); Compared with normal controls, patients with FD had significantly higher scores on hypochondriasis(Hs), depression(D), hysteria(Hy), psychopathic deviate(Pd) and psychathenia(Pt) scales (P=0.014~0.0001), especially on Hs and Hy; The curve of MMPI profile elevated obviously and presented as 1, 3 pattern. Conclusion: Patients with FD differed significantly from normal controls in MMPI and had high level of general psychopathology, which suggested that the development of FD was associated with psychological disturbance. The treatment of FD should include explanation, consolation and necessary psychological treatment in certain cases.
出处
《中华消化杂志》
CAS
CSCD
北大核心
1997年第S1期50-52,共3页
Chinese Journal of Digestion
关键词
功能性消化不良
心理因素
Functional dyspepsia Psychological factors
