情志因素与月经病的相关性研究

Research on the Correlation between Emotional Factors and Gvnecological Diseases

目的：探讨情志因素与月经病的关系。方法：采用心理测量学、临床流行病学和循证医学等科研方法，以团体用心理社会应激调查表（PSSG）为研究载体，对来自广东省中医院妇科门诊有明显情志诱因并符合诊断标准、纳入标准的151例受试者进行问卷调查，分析情志因素与月经病的相关性。结果：①月经失调组与健康对照组在劳累过度、家庭和婚姻、人际关系、子女前途、生活环境、个人健康、害怕、忧郁、气愤、陷入回忆、变得沉闷、痛哭一场、苦苦思索、独处等方面差异有统计学意义（P〈0.05），月经失调者均较健康者发生频率高；月经失调组与健康对照组在高兴、愉快、欢喜、欣慰、尽快忘掉、当作未发生、想开些、算不了什么、积极转化、幽默方面差异具统计学意义（P〈0.05），健康者均较月经失调者程度显著。②家庭不和或婚姻问题、个人健康变化、忧郁、气愤是月经失调的危险因素，子女前途问题、愉快、欢喜、欣慰是月经失调的保护因素。结论：情志因素在月经失调的发生、发展、转归中起着重要作用，面对不良生活事件时，应保持健康、良好的心态，采取积极的应对措施，以减少疾病发生及促进疾病康复。

Objective：To investigate the correlation between emotional factors and gynecological diseases. Methods：Adopted research methods of psychometrics, clinical epidemiology and evidence-based medicine, and took psychosocial stress questionnaire for groups （PSSG） as the carrier of study. We made questionnaire survey upon 151 patients in gynecology outpatient from Guangdong provincial TCM hospital, who had obvious emo-tional incentives and were consistent with the diagnostic criteria and brought into criteria, then analyzed the correlation between emotional factors and gynecological diseases. Results：（1）There were differences regarding aspects of overstrain, family＆amp;marriage, interpersonal relations, the chil-dren’s future, life environment, individual health, fear, melancholy, anger, being lost in memory, getting oppression, crying, puzzling out and living alone between menstrual disorder group and health comparison group, these differences had statistical significance （P〈0.05）, The occurrence frequen-cy of the menstrual disorder group was higher than that of the health comparison group. There were differences regarding aspects of happiness, glad-ness, joy, comfort, forgetting as soon as possible, regarding something non-occurrence, being optimistic, nothing, actively changing, and being hu-morous between menstrual disorder group and health comparison group, these differences had statistical significance （P〈0.05）, the health comparison group was more remarkable than the menstrual disorder group. （2）Family discord marital problem, personal health change, melancholy and anger were dangerous factors of menstrual disorder;children’s prospect, happiness, joy and comfort were protective factors of menstrual disorders. Conclu-sion：Emotional factors plays a very important role in occurrence, development and prognosis of gynecological disease. In the face of adverse life events, people should keep good state of mind and adopt positive coping ways in order to reduce the occurrence of gynecological diseases and be in favor of the recovery of diseases.