口腔异感症患者的心理学相关研究

Study of psychological factores in patients with oral paresthesia syndrome

目的 了解口腔异感症(OPS)与心理障碍关系， 为进一步心理行为治疗提供理论依据。方法 对31例非病理性OPS患者进行心理学病因、躯体化症状观察， 并对24例OPS和相配对的正常组进行SAS、SDS和SCL90量表的分析。结果 31例OPS患者中， 95%有各种心理学病因， 所有患者存在各种躯体化症状， 最常见为睡眠障碍(90.3%)； 全部患者存在中、重度的抑郁， 83.4%患者存在中、重度的焦虑； SCL90量表主要以躯体化、强迫症状、抑郁、焦虑、精神病性为主。结论 OPS是一类以抑郁为主的心理障碍症状群； 心理学病史、躯体化症状具有临床诊断的参考价值， 心理量表分析则可进一步明确心理障碍的类型和程度， 心理行为治疗可能是治疗精神性OPS的有效方法。

Objective To understand relation oral paresthesia syndrome(OPS) with psychological obstruction, and provide theory gist for psychological behav ior treatment. Methods 31 cases with no pathological OPS were studied in psycho logical pathogeny, body symptoms, and 24 cases in OPS and normal were analysed w ith SAS\,SDS and SCL90 scales. Results In 31 OPS cases, there were diversified psychological pa thogeny, and body symptom at all, among these patients, furthest hackneyed was sl eeping obstruction(90.3%). there were moderate severe depression in all cas es, and moderate severe anxiety in 83.4% cases. SCL90 sclae gaven mainly pr iority to somatization, obsessive compulsive, depression, anxiety and psychoticism. Conclusion OPS is a kind of psychological obstrution symptom cluster which give priority to depression, body symptom have clinic diagnostic val ue, psychological scales definitude one step types and degree of psychological obstrution, and psychological behavior treatments shall be likely to be good mot heds in spirituality OPS treatment.