围绝经期心理障碍的社会心理因素研究

A STUDY ON PERIMENOPAUSAL PSYCHOLOGICAL DISORDER WITH PSYCHOSOCIAL FACTOR

目的探讨社会心理因素对围绝经期心理障碍的影响。方法对40例围绝经期心理障碍患者(研究组)采用自编围绝经期妇女心理健康调查表、围绝经期症状评分标准和评分指数、HAMD、HAMA、SCL-90、LES、SSRS和MMPI测定问卷,并作了促卵泡生成素(FSH)、促黄体生成素(LH)、雌二醇(E 2)、孕酮(Pg)等放射免疫测定,另选40例围绝经期健康妇女为对照组。结果研究组围绝经期症状评分标准和评分指数、HAMD、HAMA、LES及负性LES分均高于对照组,SSRS总分明显低于对照组;研究组SCL-90、MMPI评分除正性LES外,均高于常模;未绝经组的FLH、LH水平高于正常值;回归分析显示:负性LES、HAMA、夫妻关系不良、较少的社会支持、E2及LH水平等是影响围绝经期症状评分的主要因素。结论社会心理因素在围绝经期心理障碍的发生、发展和转归中起着重要作用。

Objective To investigate the influence of psychosocial factors on perimenopausal psychological disorder. Methods 40 perimenopausal women with psychological disturbance and 40 controlled in community were assessed by HAMD, HAMA, SCL-90, MMPI and other psychological instruments reflecting conjugal relationship, life events and social support. The levels of FSH, LH, estrogen and progesterone of patients were determined by radio immunoassay. Results The levels of HAMD,HAMA,LES and negative LES of study group were much higher than those of controlled group, but SSRS gross grade was lower. The levels of FSH and LH in women before menopause were higher than normal. The risk factors of perimenopausal psychological disorder included ： negative life events, poor conjugal relation, less racial support, the levels of E2 and LH. Conclusion Psychosocial factors play an important part in originating, developing and returning of perimenopausal psychological disorder.