口腔扁平苔藓患者心理状况调查及分析

A Study of the investigation of Psycho-social factors on oral lichen planus

目的:探讨心理社会因素对口腔扁平苔藓(OLP)患者的影响。方法:OLP 31例为研究组,健康志愿者34例为正常对照组,采用病例-对照研究,用明尼苏达人格调查表(MMPI)、社会支持评定量表(SS)及症状自评量表(SCL-90)的方法进行调查分析。结果:1.OLP患者有一定的人格偏倚,其中Hs(疑病)、D(抑郁)、Hy(瘾症)3个量表得分明显高于正常对照组。2.OLP患者的心理健康状况差于正常组,主要表现在:躯体化、抑郁、焦虑、精神病性、总分、总均分、附加因子、阴、阳性项目数分高于正常组。3.OLP患者有较低的社会支持总分及主观支持分。结论:人格特征、心理健康状况、社会支持水平均对OLP有一定影响。

Objective： The aim of this study is to investigate the effects of patients＇ psychological background on the Oral Lichen Planus （OLP）. Method： We used a control study for the 31 patients with Oral Lichen Planus, 34 the normal.The patients suffering from Oral Lichen Planus were examined using Minnesota Muhiphasic Personality Inventory （MMPI）, Symp- tom Check List-90 （SCL-90）, Social Support Scale （SS）. Result： 1.Compared with the normal, patients with Oral Lichen Planus had certain personality bias, and had statistically significantly higher scores in scale Hs. D. Hy. of MMPI. 2.The men- tal health status of patients worse than normal group.They had higher scores in scale Somatization, Anxiety, Depression, Psy- chotic factors,Total scores, General symptomatic Index, Additional items, and Negative.Positive symptom level of SCL-90. 3. Patients with Oral Lichen Planus had lower scores in scale Total social support and Subject social support of SS. Conclu- sion： Personality traits, mental health state, Social support are important factors associated with Oral Lichen Planus.