儿童集体性癔症12例分析

Mass hysteria in 12 children

2003年6月10日,天津市南开区城乡交界部某中学初中二年级某班部分同学发生一起集体性癔症事件。以一女生欲服药自杀为诱因,周围同学因阻拦不利,在一人提议下,周围14名同学共同帮这名女生服药。其中男生6名,女生8名。服药女生服安定七八片(5mg/片),其余同学服1～3片不等。在送往医院途中,有一名女生先出现头晕、恶心、呼吸急促、无力、晕倒症状,之后相继又有11人出现类似症状,其中男生3名,女生8名,加之服药者共12名,经过心理暗示治疗,几个小时后症状恢复。事件发生1周后,经艾森克人格问卷(少年版)对发病组12名和同年级未发病的61名同学进行人格测试后,发现癔症发作者的神经质分数(55.1±9.3)高于同年级未发病同学组(45.2±10.1,t=2.93,P<0.01)。说明在较强精神因素的刺激诱发下,常在一起生活的儿童群体可发生集体型癔症。发病者表现出神经质高分的人格特征。

On June 10th 2003,a mass hysteria broke out among part of the student s in a class of Grade 2 in a middle school,which located in the urban and rural bo undary of Nankai district in Tianjin city.The mass hysteria was induced by a gir l student's suicidal attempt by taking 7 or 8 diazepam tablets(5 mg per tablet). Fourteen classmates(6 boys and 8 girls) shared 1 to 3 diazepam tablets with her so as to relieve her for they failed in stopping her.On the way to the hospital, one girl of those having taken medicine initially presented the symptoms of dizz iness,nausea,tachypnoea,asthenia and falling into a swoon,and similar symptoms w ere observed in other 11 students(3 boys and 8 girls) subsequently.Together with the girl who took the medicine firstly,the symptoms occurred in a total of 12 s tudents.After treated by psychological suggestion,they recovered several hours l ater.One week after the occurrence of mass hysteria,students in the hysteria gro up(n=12) and non hysteria group(n=61) of the same grade were assessed with the Eysenck personality questionnaire(EPQ) youth's version,and the score of neuroti cism was higher in the hysteria group(55.1±9.3) than in the non hysteria group (45.2±10.1)(t=2.93,P< 0.01).It was indicated that mass hysteria could occur in the crowd of children who often lived together if they were evoked by stronger s timulation of psychological factors.The manifestation of hysteria was the person ality characteristic of higher score of neuroticism.