癔症发作诱发因素以及复发几率分析

Relationship Between Etiology and Pathogenesis & Risk of Recurrence of Hysteria Attack

目的:探讨导致癔症发病病因和复发几率之间的联系,以便为研究、预防和治疗癔症工作提供科学依据。方法:以近30年国内外有关癔症危险因素的研究成果为基础,对符合CCMD-3诊断标准的100例癔症患者进行回顾性分析及前瞻性观察。结果:癔症相关的危险因素比较多,患者多内向,神经质影响心理症状最大,情绪明显不稳定;他们的父母较正常人的父母对子女缺乏情感温暖,并有过度的拒绝和过度保护,家庭不和睦,其在发病前一年内负性生活事件数目与严重程度均高于一般人;情绪表达受限,生活单调乏味,父母采取不良教养方式,人际关系紧张等。且患者性格因素引起的癔症复发几率较高,而因负性生活事件的原因复发几率在几种情况中最低。结论:癔症病因主要有人格特征,家庭环境,生活事件,教养方式,人际关系等,正确教育方式和朋友良好的关系,以及和谐的家庭及社会环境,及时治疗相关的并发症,可明显减少发病和复发概率。

Objective： To explore the relationship between etiology and pathogenesis risk of recurrence of hysteria attack so as to provide the scientific basis for prevention and treatment of hysteria.Methods： A total of 100 patients with hysteria,meeting the di-agnostic criteria of CCMD-3,were retrospectively analysed on the basis of researches on risk factors of hysteria at home and abroad for nearly 30 years.Results： Hysteria associated risk factors,much more introverted,neurotic affect patients with maximum psychologi-cal symptoms,emotion obvious unstable,Their parents a normal parents shall lack emotional warmth,and have excessive refused and excessive protection,family not harmonious,in its premorbid negative life events within one year the number and severity are higher than the average person,Emotional expression is limited,life monotonous,and parents took bad upbringing,interper-sonal tension,etc.And personality factors caused patients with recurrent hysteria chance for higher,while the negative life events reasons in several cases relapse chance to minimum.Conclusion： Hysteria etiology mainly includes personality traits,family environment,life events,upbringing,inter-personal relations correctly education mode and friends good relationship,and harmonious family and social environment,timely treat-ment of complications,can obviously reduce incidence and recurrence rate.