15例拔毛癖的临床分析

15 Trichotillomania Cases' Clinical Analysis

目的:探讨拔毛癖的发病诱因,治疗方法及愈后。方法:回顾分析1年来在我院心理科诊疗的15例拔毛癖的临床资料。结果:拔毛癖的发病诱因主要是不良教养方式66.7%,伴有抑郁情绪的66.7%,性格内向66.7%,专制型教养方式53.3%,父母经常吵架46.7%,父爱或母爱缺失40%,周围人际关系紧张40%,学习压力大26.7%,二胎爱的不平衡26.7%等,治疗方法主要是心理治疗配合药物治疗,治愈率80%。结论:拔毛癖的发病诱因主要和精神心理因素有关,治疗方法主要采用心理治疗和药物治疗,病程短,治疗及时的患者,单一心理治疗可以痊愈,病程长且伴有强迫症状的患者需要心理治疗加药物治疗,治疗效果差。

Objective：To explore the causes treatment and prognosis of trichotillomania.Methods：We reviewed the clinical data of 15 trichotillomania cases,which visited psychological doctor in our hospital for this year.Results：The results of the study showed that：The causes of the trichotillomania were different.66.7% cases attributed the disease to parents＇ bad education way.66.7 % cases were under the bad mood.And 66.7 % cases were introverted.53.3 % cases ＂parents treated their children in authoritarian parenting style. 46.7% cases＂ parents usually quarrelled. 40% cases were lack of fatherly love or maternal love. 40% cases faced tense relationships. 26.7% cases had study pressure. 26.7% cases got ill since their parents had the second child.We mainly treated these children with the psychotherapy and medication.After treatment, 80% patients had been cured. Conclusion： The cause of trichotillomania is mainly psychological factor.As for the treatment, we use both psychotherapy and medication. About the slight cases, who have short course of disease and cure in time,they will be cured just by treating these patients with psychotherapy. But the patients,who have the symptom for a long time and have obsessive compulsive disorder,need to be treat with both psychotherapy and medication.In spite of that, curative effect is still not ideal.