不同类型乳腺增生性疾病患者心理健康的比较

目的 探讨不同类型乳腺增生性疾病患者的心理健康状况.方法 应用HP Agilent IMAGE POINTHX彩超仪,诊断和区分单纯性乳腺增生症(研究1组)、乳腺囊性增生病(研究2组)和健康妇女各60例,在月经周期的月经期、增生期、分泌期、月经前期采用SCL-90评定精神状态.结果 两研究组在月经期和月经前期躯体化、人际敏感、抑郁、焦虑等因子分比健康对照组高;在增生期两研究组抑郁、焦虑等因子分比健康对照组高,研究l组的躯体化因子分比健康对照组高;在分泌期两研究组躯体化、抑郁、焦虑等因子分比健康对照组高;月经期研究1组躯体化、焦虑因子分及月经前期焦虑因子分比研究2组高,有显著性差异(P＜0.05),其他因子两组问差异不显著.结论 乳腺增生性疾病患者心理健康状况较健康妇女差,主要表现为躯体化、人际敏感、抑郁、焦虑,并随月经周期而变化,而且单纯性乳腺增生症患者心理健康状况较乳腺囊性增生病患者更差.

Proliferation of Mammary Gland and Mental Health

Objective To explore psychological differences among women who bear different types of proliferation of mammary gland and healthy women. Methods To collect 180 women as samples among which 60 women (named as Group One) who bear simple proliferation of mammary gland, 60 women (named as Group Two) who have proliferation of mammary gland sac and the other 60 are healthy women. The women are made diagnosis against and distinguished with a color ultrasonic wave instrument of HP Agilent Image Point HX. Then the mental condition for the samples is recorded respectively according to SCL-90 at distinct time of menstrual cycle. A menstrual cycle is divided into four periods: menstruation, proliferation, secretion and pre-menstruation. Results Compared with healthy women: During periods of menstruation and pre-menstruation, Group One and Group Two have higher records in the following factors; somatization, sensitivity to personal relationship, depression and anxiety, etc. During proliferation, Group One and Group Two gain higher records in depression and anxiety, etc. while Group One scores higher in somatization. During secretion, Group One and Group Two both arrive at higher levels in somatization, depression and anxiety, etc. Compared with Group Two: During menstruation, Group One holds higher records in somatization and anxiety; During pre-menstruation, women in Group One score higher in anxiety. During periods of menstruation and pre-menstruation: two groups show evident difference in somatization and anxiety and P<0.05; While neither depression nor sensitivity to personal relationship indicates big difference between Group One and Group Two. Conclusion Compared with healthy women, women with proliferation of mammary gland are psychologically worse in somatization and sensitivity to personal relationship, depression and anxiety. The above symptoms vary in a menstrual cycle. Furthermore, women who bear simple proliferation of mammary gland are less mentally healthier than women with proliferation of mammary gland sac.