整形美容患者心理状态探究.docVIP

整形美容患者心理状态探究[摘要]目的：研究整形美容患者的心理状态。方法：通过国际化标准的SCL-90量表对59例的整形患者进行术前术后一周的测评，并用统计学进行比较分析。结果：整形美容患者与常模比较，SCL-90总分、躯体化、抑郁、焦虑及人际关系、敏感因子高于常模，差异有显著性；患者术后与术前比较，术后SCL-90总分、躯体化、抑郁、焦虑及人际关系、敏感因子低于术前，差异有显著性。结论：对整形美容患者通过国际化标准的心理量表测量，对其心理状态分析，解除其心理障碍，同时选择合适的手术方式，解决患者的形体畸形。这种把心理分析、心理辅导运用于整形美容手术的科学方法，对今后大力开展整形美容专业，具有重要意义。 [关键词]整形美容患者；SCL-90量表；心理状态 [中图分类号]R622R395[文献标识码]A[文章编号]1008-6455（2008）05-03 The research on the mental state of cosmetic patients FAN Yan-fang,YUAN Bao-yu,HUANG Wan-xiao (The First Affiliated Hospital,Sun Yat-sen Vniversity Medical Plastic Beauty Salon,Private Medical Certer Guangzhou 510080,Guangdong,China) Abstract:ObjectiveTo investigate the mental state of cosmetic patients.MethodsThe 59 cosmetic cases underwent evaluation with international standard SCL-90 1 week preoperative and postoperative,and all the results were statistically analyzed and compared. ResultsThe scores of SCL-90,somatization, depression, anxiety, Interpersonal relationship, sensitive factor of cosmetic patients were statistically significant higher than that of the norm; these scores mentioned above show statistically significant higher in preoperative cases thanpostoperative cases. ConclutionCosmetic patients were surveyed by the international standard scale.And we can analyze their mental condition and help to deal with their psychologic obstacles. The figure deformity would be corrected by suitable operation. Mental analysis and guidance used in cosmetic surgery has a great importance of developing the cosmetic field in the future. Key words:cosmetic patient;SCL-90; mental state 在国外发达国家，整形美容手术是发展得最广泛的专业之一。国外许多作者注意到整形美容受术者是一组特殊的患者，其主要表现为心理上不同于普通患者。1992年Ribeiro等[1]曾经对乳房整形患者的个性和动机用人体外形图（Human being figure drawn）和Crown Crisp试验指数（Crown Crisp Experimentalindex,CCEX）进行测验，表明大多数患者是为了自我满足和得到他人的欣赏和认可，往往表现为固执，以自我为中心且有不同的性生活和社交障碍。 1994年Biadburg等[2]探讨及研究整形美容与心理学二者之间的关系，发现由于整形美容患者的畸形和缺陷都在体表，容易被患者本人及他人察觉，因此在社会生活中易产生各种情绪反应。1993年Napleon[3]对133例整形手术患者个性表现研究，结果发现即使手术做得很成功患者仍会觉得这样或那样