咽喉反流性疾病患者的人格特征分析

Analysis of the personality characteristics in patients with laryngopharyngeal reflux disease

目的探讨咽喉反流性疾病(LPRD)患者的基本心理人格特征。方法采用明尼苏达多相个性调查表(Minnesota muhiphasic personality inventory,MMPI)回顾性分析2018年1月至2019年12月就诊于武汉市中心医院耳鼻咽喉头颈外科门诊的187例LPRD患者(研究组)和75例健康受试者(对照组)的心理人格特征,其中研究组男性102例,年龄20~71(45.42±10.67)岁,女性85例,年龄18~65(40.97±11.53)岁;对照组男性41例,年龄18~67(41.08±12.03)岁;女34例,年龄20~65(42.55±12.78)岁。LPRD患者按质子泵抑制剂诊断性治疗8周后的治疗效果分为显效组(79例)和有效组(108例),分析各组MMPI调查结果。采用SPSS 24.0软件行统计学分析。结果LPRD患者在Hs疑病量表、D抑郁量表、Hy癔病量表、Ma轻躁狂量表及外显性焦虑量表(Manifest Anxiety scale,MAS)的T分显著高于健康对照组(t值分别为6.304、4.293、5.750、2.694、5.178,P值均<0.05)。对比79例治疗效果显效LPRD患者和108例治疗效果有效LPRD患者的MMPI测试结果,Hs疑病量表、D抑郁量表、Pt精神衰弱量表、附加量表中的Ma轻躁狂量表、MAS外显性焦虑量表的T分差异有统计学意义,且显效组患者的T分值均低于有效组患者。相关性分析显示,反流症状指数(RSI)评分与Hs疑病量表、Hy癔病量表、Ma轻躁狂量表、MAS外显性焦虑量表的T分值呈正相关(r值分别为0.621,0.402,0.393,0.581,P值均<0.05);反流体征评分(RFS)与Hs疑病量表、Hy癔病量表及MAS外显性焦虑量表的T分值呈正相关(r值分别为0.315,0.321,0.375,P值均<0.05)。结论LPRD患者与健康人群相比具有其特殊的人格心理特征,主要表现为过度关注于自己、夸大病情、抑郁、敏感、心理问题躯体化、易怒狂躁等。LPRD患者无论是主观症状(RSI)还是客观体征(RFS)上的严重程度均与其心理人格特征存在相关性。

Objective To explore the basic psychological and personality characteristics of patients with laryngopharyngeal reflux disease(LPRD).Methods The Minnesota Multiphasic Personality Inventory(MMPI)was used to investigate the psychological personality characteristics of 187 patients with LPRD(Study Group)and 75 healthy subjects(control group)who were treated in the otolaryngology clinic of Wuhan Central Hospital from January 2018 to December 2019.There were 102 males in the study group,aged from 20 to 71(45.42±10.67)years and 85 females,aged from 18 to 65(40.97±11.53)years;There were 41 males in the control group,aged from 18 to 67(41.08±12.03)years and 34 females,aged from 20 to 65(42.55±12.78)years.SPSS 24.0 software was used for statistical analysis.Results The T scores of HS hypochondriac scale,D depression scale,Hy hysteria scale,Ma hypomania scale and MAS explicit anxiety scale in LPRD patients were significantly higher than those in healthy controls(t=6.304,4.293,5.750,2.694,5.178,all P<0.05).Correlation analysis showed that RSI score was positively correlated with T score of HS hypochondriac scale,Hy hysteria scale,Ma hypomania scale and MAS explicit Anxiety Scale(r=0.621,0.402,0.393,0.581,all P<0.05);RFS score was positively correlated with T score of HS hypochondriac scale,Hy hysteria scale and MAS explicit Anxiety Scale(r=0.315,0.321,0.375,P<0.05).Conclusions Compared with healthy people,LPRD patients have special personality psychological characteristics,which are mainly manifested as excessive attention to themselves,exaggerated illness,depression,sensitivity,somatization of psychological problems,irritability and mania.The severity of both subjective symptoms(RSI)and objective signs(RFS)of LPRD patients are related to their psychological personality characteristics.