不同性别癔症患者临床分析

A comparative study of clinical features between male and female hesteria

目的 :探讨不同性别癔症患者间的临床差异 ,对住院的 4 4例异性癔症患者和 1 95例女性临床资料进行对照分析。结果 :发现男性癔症患者性格内向 77.3 % ,精神诱发因素以工作适应失调、经济困难、人际关系紧张 ,临床征象以情感爆发、行为障碍、幻觉妄想最为常见 ;女性癔症患者性格外向 53 .3 % ,精神诱发因素以家庭失和与纠纷、人际关系冲突、宗教迷信 ,临床征象以情感爆发、转换性症状、朦胧状态和附体体验最为常见。结论 :针对男女癔症患者的不同特点 ,搞好心理卫生 ,改善心理状态 ,避免心理创伤 ,对癔症的防治有重要作用。

Objective To explore the clinical difference between male hysteria and female hysteria.Methods According to sexed difference,239 patients with hysteria admitted during 1998 were divided into two subgroups.The clinical data of two subgroups were analyzed.Result The 77.3 percent of male cases were with introversion personality but 53.4 percent of female ones were with extraversion personality.Difficulties in adaption,low standard of living and conflicts with colleagues or neighours were psychosocial causative factous for male cases that were most frequently seen,whereas conflicts between members of the fmily and collegues or neibours.superstion and religion for female ones.Outburst of emotion,behaval disorder hallucination and delusion were preponderant in the majority of male cases,whereas outburst of emotion,conversion symptom,twilight state and possession symptoms in the majority of female ones.Discussion The minimization of psychosocial trauma and the improvement of mental health are important for preventing and treating hysteria according to the sexed difference of it.