不孕症患者心理状态及人格特征分析

Psychological status and personality characteristics analysis for patients with sterility

目的分析不孕症患者的心理状态及人格特征。方法采用90项症状自评量表（SCL-90）和艾森克个性问卷（EPQ）,对27例不孕症患者和29例已婚已育的正常健康者进行评定和测试。结果不孕症患者SCL-90评定总分、总均分和阳性项目数均高于正常健康者,躯体化、强迫、抑郁、焦虑、敌对、恐怖等因子分均高于正常健康者,2组比较,差异均有非常显著性（P〈0.05）;不孕症患者精神质（P）、神经质（N）、掩饰性（L）得分均明显高于对照组,内-外向（E）得分明显低于对照组,2组比较,差异均有非常显著性（P〈0.01）。结论不孕症患者的总体心理健康状况较差,具有情绪不稳定、焦虑、紧张、易怒、掩饰的个性特征,提示在治疗及护理不孕症患者躯体疾病的同时,应注意观察患者的心理状况变化,并进行相应的心理治疗,防止其不良情绪的发生,从而使患者以良好的心态接受治疗。

Objective To analyze the psychological condition and personality characteristics of the patients with sterility. Methods 27 patients with sterility and 29 normal persons （married） were investigated by “Symptom Checklist 90” （SCL-90）and “Eysenck personality questionnaire”（EPQ）. Results The patients with sterility had higher SCL-90 gross marks and gross means marks and more positive items than that of normal persons. Body, compelling, depression, anxiety, opposition, terror factors of the patients with sterility were higher than that of normal persons, and the differences were significant （P〈0.05）. The marks of P, N, L of the patients with sterility were higher evidently than that of normal persons and the mark of E was clearly lower than that of normal persons （P〈0.01）. Conclusions The patients with sterility has worse psychological conditions and some personality characteristics such as unstable mood, anxiety, strain, easy to be angry, concealing. It is suggested that we should observe psychological condition change of the patients and paid more attention to psychological treatment to prevent their worse mood and make them accept the treatment with good psychological condition.