痉挛性斜颈患者的心理测评

Psychological evaluation of the patients with spasmodic torticollis

目的对痉挛性斜颈患者的心理因素进行分析，研究其与本病发病机制的关联。方法对21例痉挛性斜颈患者（斜颈组）采用症状自评量表（SCL-90）进行问卷调查，并与中国人常模（常模组）进行对比。结果斜颈组躯体化因子（1．67±0．59）分、焦虑因子（1．95±0．74）分、恐怖因子（1．63±0．59）分及精神病性因子（1．56±0．60）分，均明显高于常模组[分别为（1．37±0．48）、（1．39±0．43）、（1．23±0．41）、（1．29±0．42）分]（P〈0．05）。而两组强迫症状、人际关系敏感、抑郁、敌对及偏执因子评分比较差异无统计学意义（P〉0．05）。结论痉挛性斜颈患者的心理因素中，躯体化、焦虑、恐怖及精神病性因子评分较正常人群有异常升高，提示本病伴有上述心理异常表现。心理因素是否与痉挛性斜颈发病机制有关尚待进一步研究。

Objective To investigate the psychological factors in the spasmodic torticollis （ST） patients and find the possible relationship between mental disorder and the pathogenesis of spasmodic torticollis. Methods All the 21 ST patients admitted were asked to complete the SCL-90. The result was compared with the norm of Chinese. Results Somatization （ 1.67 ± 0.59） scores, anxiety （ 1.95± 0.74） scores, phobic （ 1.63 ± 0.59） scores and psychotic （ 1.56 ± 0.60） scores in ST patients, they were higher significantly than the norm of Chinese [ （ 1.37 ± 0.48 ）, （ 1.39 ±0.43 ）, （ 1.23 ±0.41 ）, （ 1.29 ± 0.42） scores ] （P 〈0.05）. No significant differences were found the other factors between the ST patients and norm of Chinese. Conclusion Somatization,anxiety,phobic and psychotic are correlated with ST, they may likely contribute to the pathogenesis of ST.