Objective To explore psychosocial factors that influence pregnancies to choose caesarean sections without obstetric indications,and to provide references for selecting a proper mode of delivery.Methods Symptom Check List(SCL-90),Eysenck Personality Questionnaire(EPQ) and Social Support Rating Scale(SSRS) were conducted on 461 women who had been pregnant for 36 to 40 weeks of gestation.Results The total score and scores of anxiety,phobia,depression,paranoid of SCL-90 in pregnant women were significantly higher than those of the norm(P0.01 for all);there were significant differences in each subscale score of EPQ between the pregnant women and the norm(P0.05,P0.01);the total score and the score of objective support of SSRS in women who chose caesarean sections were significantly lower than those undergoing vaginal delivery(P0.01 for both);the total score of SCL-90 was significantly correlated with the score of P,N subscale of EPQ and the objective support score of SSRS(P0.05,P0.01);the score of N subscale was significantly negatively correlated with the objective score and the total score of SSRS(P0.05,P0.01),while the score of E subscale showed positive correlation with the total score of SSRS(P0.05).Conclusion Psychosocial factors affect pregnancy's selection of labor way.

目的研究绝育术对女性性机能的影响.方法对276例女性绝育受术者进行了性机能调查研究、汉密尔顿焦虑量表(HAMA)的评定分析及随机抽取50例进行艾森克个性测定.结果女性绝育术后3月、6月性机能明显障碍,表现为月经紊乱甚或经期延长、性欲减退、性交频率降低;HAMA评分在绝育术前、后存在显著差异;艾森克个性测定与正常对照组雷同.结论心理社会因素是导致女性绝育受术者性机能受损的主要原因,而相关性机能生物学检测则需进一步探索.

目的探讨绝育手术对女性性机能的影响.方法采用自编性机能调查表、汉密尔顿焦虑量表对276例实施绝育手术的女性进行术前和术后3mo、6mo、12mo评定.结果女性实施绝育手术前及手术后3mo、6mo、12mo月经异常率分别为37.31%、91.67%、59.42%、38.77%,术前与术后3mo、6mo比较有极显著性差异(P＜0.01).性机能障碍主要表现为:月经紊乱或经期延长、性欲减退、性交频率降低.术前、术后汉密尔顿焦虑量表评分有显著或极显著性差异(P＜0.05或P＜0.01).结论心理社会因素是导致女性绝育后性机能障碍的主要原因.

目的 探讨高中生睡眠现状与其心理健康状况及个性因素的相关性.方法采用分层整体取样法抽取株洲市高三学生412名,进行SRSS、SCL-90及EPQ的测查分析.结果 25.24%的学生睡眠时间少于5～6h,45.87%的学生感到睡眠不足;SRSS与SCL-90总均分及EPQ-N量表分呈显著正相关,与EPQ-E量表分呈显著负相关.结论 高中生的睡眠质量与其个性及心理健康状况密切相关,强迫自我减少生理性睡眠时间,易导致学生学习过度疲劳,降低学习效果、有损心身健康.

1992年6月至1998年12月住院病例中符合CCMD-2[89版]诊断人格障碍者32例.其中反社会型、冲动型人格障碍居多,且幼年时多有不良家庭社会环境影响和教育方法失当,心理发育受挫、品行障碍等.临床表现主要为攻击行为、环境适应不良和人际关系障碍.经精神科药物治疗配合护理干预,少数患者远期疗效可.