男性乳腺发育症患者整形手术前后心理变化的研究.doc

整形手术男性乳腺发育症患者心理的研究 刘晨 栾杰 丛中 柳春明 李桂珍 ［摘要］ 目的 了解整形的心理状态，探讨整形手术心理状态的。方法 采用焦虑自评量表、抑郁自评量表、自尊量表、体像障碍自评量表及艾森克人格问卷，对名者手术前后的心理状态进行问卷调查，分析调查结果。 结果 在名者中，术前焦虑、抑郁状态分别为5％％；手术前33.685±6.543、34.338±5.414和23.487±7.441，术后分别为26.442±4.278（P0.05）、27.968±7.112（P0.05）和16.184±8.544（P0.05）。患者术后分值较术前上升5.869±6.197 (P0.01)中的和量表的分值在常态范围之内，L表的分值超出常态标准结论［关键词］ 整形美容手术 心理The preliminary research on the influence of the plastic and aesthetic surgery on the psychology of the patients with gynaecomastia Liu Chen, Luan Jie, Cong Zhong, et al. Department of plastic surgery of 301 Hospital and Postgraduate Medical College of P.L.A., Beijing,100853, China; Plastic Surgery Hospital of Chinese Academy of Medical Sciences, Beijing 100041, China; Department of Psychology, Beijing University, Beijing 100083, China. [Abstract] Objective: The aim of this research was to identify the psychology of the patients with gynaecomastia, to study the influence of the plastic and aesthetic surgery on their psychology. Method: The self-rating anxiety scale(SAS), the self-rating depression scale(SDS), the self-esteem scale(SES)，the self- rating body dysmorphic disorder(BDD) scale, and the Eysenck Personality Questionnaire (EPQ) were used to determine the psychology of the 65 patients with gynaecomastia. These patients were tested preoperatively and postoperatively, respectively, and then the results were analyzed. Results: Of the 65 patients with gynaecomastia who completed these tests, it was found that the 54 percent were in anxiety preoperatively, 57 percent were in depression, and 14 percent were in BDD preoperatively. The scores in SAS, SDS, and self- rating BDD scale were 33.685±6.543, 34.338±5.414, and 23.487±7.441 preoperatively, respectively; and those were 26.442±4.278 (P0.05), 27.968±7.112 (P0.05), and 16.184±8.544 (P0.05). The scores in SES increased by 5.869±6.197 (P0.01) postoperatively. The scores in E scale, P scale, and N scale of EPQ were normal, and those in L scale were abnormal. The differences betw