颅内肿瘤患者心理症状的特征分析

Characteristics of psychological symptoms in patients with intracranial tumors

目的:分析颅内肿瘤患者的心理症状表现,探讨其与躯体疾病的关系。方法:30例研究对象均来自2002-12/2003-12解放军沈阳军区总医院神经外科住院的颅内肿瘤患者,均经病理组织学确诊。应用90项症状自评表(SCL-90)独立测试,由医学心理测试软件进行评分,并与已知总体均数(国内常模)进行比较。结果:颅内肿瘤患者因子分≥2分以上依次为:抑郁、敌对、焦虑、强迫、躯体化、精神病性、人际关系敏感;颅内肿瘤患者分别在躯体化(1.76±0.68)、抑郁(1.93±0.93)、焦虑(1.86±0.94)、敌对(1.91±1.09)和精神病性(1.72±0.76)因子分与1986年常模比较差异有显著性(t=2.260～3.187,P=0.003～0.032);与1999年常模比较,仅躯体化症状(1.76±0.68)因子分差异有显著性(t=2.290,P=0.029)。结论:颅内肿瘤患者在躯体疾病的基础上,伴有不同程度的心理症状。推断颅内肿瘤患者躯体疾病与社会心理问题关系可能是互为因果关系。

AIM:To analyze the psychological symptom in patients with intracranial tumors,and investigate its relation with somatic diseases. <METHODS:Thirty inpatients, who were finally diagnosed to have intracranial tumors by pathohistological examination in the Chinese PLA General Hospital of Shenyang Military Area Command during December 2002 to December 2003,were measured with the symptom checklist(SCL 90) independently, then scored with the medical psychological test software, and the results were compared with the known general mean(domestic norm). <RESULTS:The factor scores ≥ 2 of the patients with intracranial tumors in order were depression,hostility,anxiety, compulsion,somatization,psychoticism and interpersonal sensitivity.the patients with intracranial tumors had significantly higher scores of somatization(1.76± 0.68), depression(1.93± 0.93),anxiety(1.86± 0.94),hostility (1.91± 1.09)and psychoticism(1.72± 0.76) than the 1986 norm(t=2.260 to 3.187,P =0.003 to 0.032), while only the score of somatization(1.76± 0.68) was remarkably higher than the 1999 norm(t=2.290,P=0.029). <CONCLUSION:Patients with intracranial tumors are always accompanied with psychological symptom to different degrees based on somatic diseases,and the symptoms varied greatly.The relation between somatic diseases and social psychological problems is causality of each other.