弥漫性甲状腺肿伴甲状腺功能亢进症患者111例心理状态测试

Test of the psychological condition of 111 patients with diffuse toxic goiter accompanied by hyperthyroidism

为了解武汉地区大专院校学生弥漫性甲状腺肿伴甲状腺功能亢进症(简称甲亢)患者的心理状态,选择2003-01/2004-01在解放军广州军区武汉总医院内分泌专科门诊已确诊且正在治疗的甲亢患者111例,均为武汉地区大专院校学生,采用症状自评量表进行测评,分数越高,心理健康水平越低。结果表明①武汉地区大专院校在校大学生甲亢患者症状自评量表阳性项目总均分、强迫、人际关系敏感、焦虑、敌对、恐怖、精神病性因子分显著高于常模,差异具有显著性(P<0.05～0.01)。②女性患者焦虑及精神病性症状因子分显著高于男性,差异有显著性(P<0.01)。男性患者躯体化,敌对因子分均高于女性,差异具有显著性(P<0.05)。③城镇学生躯体化、焦虑、人际关系敏感、精神病性因子分高于农村学生,差异有显著性意义(P<0.05)。农村学生偏执、强迫因子分高于城镇学生,差异具有显著性(P<0.05)。提示大专院校在校大学生甲亢患者存在着严重的心理卫生障碍。

To understand the psychological condition of students with diffuse toxic goiter accompanied by hyperthyroidism in college and university located in Wuhan. 111 patients with hyperthyroidism between January 2003 and January 2004 were selected from the Special Endocrinology Clinic of Wuhan General Hospital of Chinese PLA in Guangzhou Military Area Command, who were all students of college or university located in Wuhan. Symptom checklist （SCL） was adopted to evaluate the patients, and the higher the score was, the lower the level of psychological health was. The results showed that ①the total mean score of college students with hyperthyroid in negative items of SCL and the scores of factors such as force, sensitivity of interpersonal relationship, anxiety, hostility, horror and psychoticim were obviously higher in student patients than those in norm （P 〈 0.05-0.01）. ② The scores of anxiety and psychoticim were significantly higher in female patients than those in male patients, and the differences were remarkable （P 〈 0.01）, whereas the scores of somatization and hostility in male patients were higher than those in female patients, and the differences were significant （P 〈 0.05）. ③ The scores in somatization, anxiety, sensitivity of interpersonal relationship, psychoticim of students living in town were higher than those of students living in countryside, and the differences were marked （P 〈 0.05）. The scores of bigoted and force in countryside students were significantly higher than those in town students （P 〈 0.05）, which indicate that there are severe psychological disturbance in college students with hyperthyroidism.