甲状腺功能亢进患者心理健康与冲动性人格关系

Correlation between mental health and impulsive personality in hyperthyroidism patients

目的评估甲状腺功能亢进(以下简称甲亢)患者心理健康状况及其与冲动性人格关系,初步探讨心理健康与冲动性人格在甲亢发病过程中的作用。方法采用症状自评量表(SCL-90)和冲动性人格量表对在哈尔滨医科大学附属第一医院抽取的217例甲亢患者进行评分测定。结果甲亢患者症状自评量表躯体化(1.59±0.56)分,人际关系敏感(1.37±0.46)分,焦虑(1.50±0.56)分,恐怖(1.34±0.48)分,均明显高于常模,差异均有统计学意义(P<0.01);躯体性冲动与强迫、人际关系敏感、抑郁、焦虑、敌对、恐怖、精神病性、躯体化、偏执均呈正相关(P<0.05或0.01);认知行为冲动与强迫、抑郁、敌对、偏执、精神病性、躯体化、焦虑、恐怖均呈正相关(P<0.05或0.01),与人际敏感关系无关,计划性冲动与躯体化、强迫、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性均无关。结论甲亢患者总体心理健康状况较差,冲动性人格特征与甲亢发病有关。

Objective To assess the level of mental health and impulsive personality among hyperthyroidism patients and to explore the role of mental health and impulsive personality in the pathogenesis of hyperthyroidism.Methods Symptom Checklist-90（SCL-90） and impulsive personality scale were used to measure 217 patients with hyperthyroidism.Results The self-rating score of somatization（1.59±0.56）,interpersonal sensitivity（1.37±0.46）,anxiety（1.50±0.56）,and horror（1.34±0.48） of the hyperthroiclism patients were significantly higher than those of the norm,with significant differences（P0.01 for all）.Somatic impulse was positively correlated with coercion,interpersonal sensitivity,depression,anxiety,hostility,horror,paranoid,and psychosis（P0.01 or P0.05）.Cognitive behavior impulse was positively correlated with coercion,depression,hostility,paranoid,psychosis,somatization,anxiety,and horror（P0.01 or P0.05）and was not correlated with interpersonal sensitivity.Planned impulse had no correlation with somatization,coercion,interpersonal sensitivity,depression,anxiety,hostility,horror,paranoid,and psychosis.Conclusion Hyperthyroidism patients had poor mental health and impulsive personality characteristics was related to the incidence of hyperthyroidism.