绝经期骨量减少症妇女精神、心理行为特征分析

Psychoactive and behavioral characteristics analysis in menopausal women with osteopenia

目的观察绝经期骨量减少症妇女的精神、心理和行为特征,探讨进行一级预防和心理干预的可能性。方法1998-05/2002-05在商丘市第一人民医院48例被确诊为骨量减少症的中老年妇女(骨量减少组),按检查时间、年龄、绝经年限、身高和体重和同期体检未检出骨量减少的48例妇女(对照组)按1:1配对,采用明尼苏达多相人格问卷(MMPI),临床精神卫生症状自评量表(SCL-90)和A型性格量表进行测评。结果明尼苏达多相人格问卷(MMPI)和A型性格问卷调查中骨量减少组中疑病性神经症、抑郁症、偏执、精神衰弱、时间紧迫感、争强好胜等评分明显高于对照组(t=0.983～3.106,P<0.05),而临床精神卫生症状自评量表(SCL-90)测评中,前者评分以躯体化、强迫、人际关系、抑郁、焦虑、偏执、精神病性居高(t=1.107～2.196,P<0.05)。结论绝经期妇女骨量减少症发病与社会心理因素密切相关。

Aim To study psychoactive and behavioral characteristics of the menopausal women with osteopenia. Methods Forty eight middle and old menopausal women with osteopenia, who sought medical advice in First People's Hospital of Shangqiu1998/2002, were selected as the osteopenia group, while other 48 normal women matched for examine time, age, menopausal time limit, height and weight, were selected as the controls on 1:1 ratio with osteopenia group. Minnesota multiphasic personality inventory (MMPI), clinical mental health symptom checklist (SCL 90) and type A characteristic questionnaire were conducted between osteopenia group and control group. Results MMPI and type A questionnaire showed that the scores of hypochondriasis, depression, hysteria, psychasthenia, etc in the osteopenia group were significantly higher than those in the control group(t=0.983?3.106,P< 0.05).The SCL 90 showed that the somatization, compulsion, human relations, depression, anxiety, paranoid and psychiatric in the osteopenia group were higher than those in the control group (t=1.107?2.196, P< 0.05). Conclusion The episode of osteopenia in the menopausal women is closely related with social psychic factors.