面肌痉挛患者的心理健康状态调查研究

A Survey on the Psychological State of Hemifacial Spasm Patients

目的:调查面肌痉挛(HFS)患者的心理健康状态。方法:对112例面肌痉挛患者在评定面肌痉挛程度的同时进行汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)和症状自评量表(SCL-90)的测评,采用体检中心健康体检人群120例进行对比。结果:HFS患者中77%伴有焦虑症状,明显高于健康体检者;痉挛程度与焦虑评分成正相关。46%HFS患者伴有抑郁症状,高于健康体检者;痉挛程度与抑郁评分成正相关。SCL-90结果显示:HFS患者不仅伴有明显的焦虑、抑郁,相当一部分患者还伴发有其他的躯体化症状,可能还存在人际关系、社交、恐惧等症状。结论:面肌痉挛患者伴发有明显的焦虑、抑郁及躯体化倾向,并同时可能带来社交、恐惧、人际关系等问题。

Objective：To investigate the psychological state of patients with hemifacial spasm.Methods：A total of 112 hemifacial spasm patients were evaluated the degree of spasm and the psychological state by Hamilton anxiety scale（HAMA）,Hamilton depression scale（HAMD）,and symptom check list-90（SCL-90）.Another 120 healthy subjects who were randomly selected from medical examination center were set as control group.Results：Among the hemifacial spasm patients,77% had anxiety and 46% had depression,and both were more than in controls.The results of SCL-90 showed that the patients of hemifacial spasm also had higher scores in somatization,interpersonal relations,social activities,and fear.Conclusion：The patients of hemifacial spasm showed apparent anxiety,depression and somatization,and at the same time had the problem of social activities,fear and interpersonal relations.