慢性盆腔疼痛社会心理因素研究

Correlative study of the chronic pelvic pain and the social-psychological factors

目的:探讨慢性盆腔疼痛(CPP)与社会心理因素的相关性。方法:对72例CPP患者(CPP组)和95例子宫肌瘤患者(对照组)采用自编社会心理变量调查表及90项症状清单(SCL-90)进行测评。结果:与对照组比较,CPP组婚姻状况较差,文化程度较低,总病程较长,诊治次数及恶性生活事件较多。SCL-90评分中抑郁和焦虑因子标准分较高(P均<0.05或P<0.01)。回归分析发现:总病程、诊治次数以及SCL-90抑郁和焦虑因子标准分与腹腔镜检查的结果呈正相关,偏回归系数分别为0.346,0.536,0.611及0.616(t=2.20,3.24,4.47,4.49;P均<0.05);婚姻状况、文化程度与腹腔镜检查结果呈负相关,偏回归系数分别为0.314,0.611(t=2.18,4.52;P均<0.05)。结论:社会心理因素可能是CPP发病的成因之一,对CPP患者充分的心理评估和心理治疗以及抗抑郁治疗是十分必要的。

Objective： To explore the relationship of chronic pelvic pain （CPP） and psychosoeial factors. Method ：An investigation schedule and symptom checklist 90 （SCL-90） were administered to 72 CPP patients and 95 womb fibroid patients. Results： Compared with womb fibroid patients, CPP patients showed worse marital life, fewer years of education, longer course of disease, more treatment experiences, higher anxiety and depression score of SCL-90 （ all P 〈 0.05 or P 〈 0.01 ）. Partial correlation coefficient between the total course of disease,treatment times, anxiety and depression score of SCL-90 and peritoneoscopy examination result was 0. 346 ,0. 536 ,0. 611 and 0. 616 ,which indicated that the total course of disease, treatment times, anxiety and depression was significantly positively correlated with peritoneoscopy examination result （t = 2.20,3.24,4.47 and 4.49, all P 〈 0.05 ）. Partial correlation coefficient between marital status, years of education and peritoneoscopy result was 0.314,0.611, which indicated that marital status, years of education was significantly negatively correlated with peritoneoscopy result （ t = 2.18,4.52, all P 〈 0.05 ）. Conclusion： The psychosoeial factors can influence process of chronic pelvic pain, and thus psychological assessment and treatment should be necessary in treatment of chronic pelvic pain.