性病疑病症患者的心理分析及心理综合疗法研究

目的:对性病疑病症患者进行心理调查分析,并探讨以森田疗法为主的心理综合疗法对患者所起的作用。方法:采用精神卫生自评量表(SCL-90)和Hamilton抑郁量表(HAMD)对30例性病疑病症患者进行心理评估,以及采用以森田疗法为主的心理综合疗法对患者进行治疗,于治疗前后检测患者外周血中5-羟色胺(5-HT)和去甲肾上腺素(NE)水平作为疗效的客观评价指标。结果:30例性病疑病症患者按SCL-90评分结果分为:混合型22例,强迫症型4例,疑病症型2例,恐惧症型2例;治愈率26.7%,显效率53.3%,总有效率80.0%;治疗后SCL-90和HAMD评分比治疗前显著下降,5-HT和NE水平治疗后比治疗前显著上升(均P<0.05)。结论:性病疑病症患者的心理障碍是以混合型出现率最高,其次是强迫症型、疑病症型和恐惧症型;以森田疗法为主的综合心理疗法治疗性病疑病症疗效较好。

Psychological Analysis and Comprehensive Psychotherapy of Venereophobia

Objective:To analyze the psychological state of patients with venereophobia and observe the therapeutic effects of the comprehensive psychotherapy based on Sentian Treatment.Methods:Symptom check list 90(SCL-90)and Hamilton Depression Scale(HAMD)were used to evaluate the psychological state of the venereophobia patients,comprehensive psychotherapy based on Sentian Treatment were offered to the patients.The blood levels of 5-HT and NE were measured at the first and the eighth week.Results:Among the 30 cases with venereophobia,2 cases were phobia,2 were hypochondria,4 were obsessive compulsive disorder and 22 were mixed type.For the treatment efficacy,the cure rate was 26.7%,the significant improvement rate was 53.3%.The total effective rate of our treatment was 80.0%.The post-treatment scores of SCL-90 and HAMD were lower than the pre-treatment scores,and the post-treatment levels of 5-HT and NE increased significantly(P<0.05).Conclusions:The psychological symptoms of venereophobia are various.The mixed type is the dominant type,followed by obsessive compulsive neurosis,phobia and hypochondria.The comprehensive psychotherapy based on Sentian Treatment is effective in treating venereophobia.