对气功所致精神障碍诊断转归的随访观察

Follow up of Mental Disorder Caused

在１９８８年１月～１９９５年５月间，上海市精神卫生中心住院患者中，出院诊断气功所致精神障碍者共３５例。其临床特点为：中年以后发病、病前性格内向型者居多；ＭＭＰＩ测试，Ｈｓ（疑病）、Ｄ（抑郁）、Ｈ（歇斯底里）得分升高；多伴有躯体疾病，尤其是心身疾病；症状表现多样化，内容多与气功有关；近期治疗效果佳，显效率９１．４％。１９９５年１０月共随诊到２６例。大多预后良好，其中更改诊断精神分裂症６例、躁狂症和焦虑症各１例。笔者就此对有关问题进行了讨论。

t reported 35 cases with the diagnosis of men-tal disorders caused by Qigong who were admittedin Shanghai Mental Health Center from January1988 to May 1995. Its chinical characteristics wereas follow: starting onset at middle - aged; mostwith introverted personal characteristics before ill ;the item scores of Hs. D and Hy in MMPI test in-creasedi with physical diseases espcially psychoso-matic diseases; with various symptoms , most relat-ed to Qigong ; short-term treatment was effective .the effectual rate was 9l.4%. 26 cases-some wererevised the diagnoses as six of schizophrenia, one ofmania and one of anxiety accepting the follow upin Oct, 1995 showed good prognosis. It also dis-cusses some relevant things.