On the mental health of patients with hyperthyroidism and psychological assessment_7855.doc

On the mental health of patients with hyperthyroidism and psychological assessment Study: Mechanism of the Coastal Fu Ye Wen Haixia Health Abstract: Assessment of patients with hyperthyroidism and Psychological treatment of mental Health need and treatment. Methods: SCD90, SAS, SDS table psychometric assessment mental Health in patients with hyperthyroidism and found that depression, anxiety, compulsion, interpersonal relationships, hostility , horror and mental aspects, such as higher than the norm. of the need for Psychological treatment in patients with hyperthyroidism and cognitive behavioral therapy to their disease. Results: The patients with hyperthyroidism obvious anxiety, depression and other psychological disorders. cognitive behavioral therapy, etc. Psychotherapy can affect change in their disease. Conclusion: Psychological treatment of patients with hyperthyroidism is necessary. Paper Keywords: hyperthyroidism psychometric Psychological treatment cognitive behavioral therapy Is well known that patients with hyperthyroidism often accompanied by psychological mental disorders such as stress, anxiety and depression. And infection, severe mental stimulation, trauma is an important factor in inducing hyperthyroidism. Psychological treatment to help patients learn to avoid incentives for self-psychological adjustment, enhanced response to capacity, recent Research found that the psychological impact of psychological factors hyperthyroidism course there are relationships, anxiety, depression and terror and so on. The author uses clinical symptom checklist (Symptom Checklist90, SCL-90), self-rating anxiety scale (SAS) and Self-Rating Depression Scale (SDS) in 33 hyperthyroid patients with psychological investigation, and with the norm, and bronchitis were compared. 1 Data and methods 1.1 General Information January 2007 ? September 1, 2007 hospitalized patients in our hospital endocrine clinic. Hyperthyroidism group of 33 patients, 15 male and female l8, aged 25 to 65 years the average age of 35.3 years, duration 6 l5 months, the readme for the first time significantly before the onset of mental stress or trauma in 20 cases. bronchitis group of 32 patients, 16 males and 16 females, aged 22 to 68 years, mean 34.8 years, duration of 4 months to 20 years with an average 7.52 years, the two groups by statistical analysis of gender and age composition of the difference was not significant. 1.2 Methods A questionnaire-type form, bearer type, subjects self-administered within the specified time, the unified guidance language, assessed the situation two weeks time. 1.2.1 SCL-90: the 90 projects, divided into somatization, interpersonal sensitivity, depression, anxiety, hostility, phobia, paranoid, psychotic symptoms were the basic factor of 9. Each symptom severity by scale of 5, rated 1 to 5 in order to express the corresponding symptoms: none, mild, moderate, too much weight, serious. factor scores of the pain that the appropriate level of symptom factors, the total score that the individual's Health status. 1.2.2 anxiety and depression since the score: The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) assessed the emotional state of patients, evaluation and scoring questionnaire. According to the characteristics of the Chinese people, the total coarse points counted as 40 points upper limit of normal, standard score (total roughly divided x1.25) maximum 5O points. Factor score of 1.3 with statistical methods That the application of t test, x2 test. Hyperthyroid patients SCL-90 score and each factor SAS, SDS scores with the group in Table 1 and Table 2. Links to Research Papers Download http:/ 2 results 2.1 The positive rate of mental disorders of anxiety attacks symptoms of hyperthyroidism 78%, depression 83%, 35% remission of anxiety, depression 33%. Bronchitis group were not detected in patients with positive, negative emotions were not found in normal subjects. Mostly young persons with hyperthyroidism anxiety, depression and the elderly are most welcome. 2.2 SCI - 90 hyperthyroid group compared the factor scores in anxiety, depression, obsession, interpersonal relationships, hostility, phobic and psychotic and other aspects and bronchitis were higher than the norm group (P <0.05) The difference was statistically significant. bronchiolitis group the scores were lower than normal group, no psychological problems. 3 Discussion Psychological stress can cause changes in immune system function, adrenal cortex hormones and the sympathetic nervous system changes may be due to immunosuppressive effects of the intermediate links. It was suggested that trauma to the central nervous system and hypothalamic-pituitary-adrenal axis dysfunction, body reduced immune surveillance capability, TSI (thyroid stimulating immunoglobulin) production increased, and then place hyperthyroidism. Medical Research shows that: long-term mental trauma, a strong mental stimulation, such as sadness, fear, suffering from anger, tension, anxiety, etc. can often precipitate hyperthyroidism. According to reports found in the war and natural disaster areas the prevalence of hyperthyroidism increased significantly. there of Statistics, 365 cases of hyperthyroidism in patients with risk factors, 80% have mental stimulation. recent expert study abroad related to daily life events and the relationship between the incidence of hyperthyroidism. female to male incidence of 5-10 times the neuropsychiatric aspects: nervousness, irritability, emotional instability, anxiety, excessive movement, distraction, insomnia; if the patient especially young female patients exophthalmos, significantly enlarged thyroid will affect the face, causing severe mental trauma, psychological and social Information as part of the clinical symptoms of hyperthyroidism, mood changes found in almost all patients. showed sensitivity, irritability, anxiety, reduced ability to deal with daily life events, family and other interpersonal tensions. Patients may also be caused by hyperthyroidism, exophthalmos, goiter and other shape changes, resulting in inferiority complex, elderly patients may manifest as depression. Part of the newly diagnosed patients with hyperthyroidism before the onset of 12 months experienced a more intense events. Some people think the time has its own defects in the thyroid, there are no symptoms of hyperthyroidism usually encountered mental stimulation, induced Benbingfasheng, some people think that mental stimulation is the initiating factor of Graves disease. Psychotherapy to help patients reduce adverse stimuli, reasonable living arrangements, to avoid excessive concentration of stress and attention. Hyperthyroid patients the main use of behavior therapy and cognitive therapy: analysis of the causes of their anxiety and depression, to change its understanding of disease, mental Health to improve and enhance clinical effect. Cognitive behavioral therapy guided self-exploration so that patients do recognize the disease to know the error exists in the views and personality deficiencies and experience to the previous lack of self-awareness, increased spontaneity and vitality, which to achieve self-realization, remove obstacles and create conditions for developing intelligent, help callers learn constructive behavior, to change to eliminate their maladaptive social inferiority of terror, anxiety and depression to eliminate slow down the situation, to achieve physical and mental harmony. behavioral cognitive therapy consultation principle, the emotional and behavioral changes with his understanding of the real world of things, attitudes and opinions related to the different understanding of the same thing, and its cause changes in mood and behavior are different, so the disease by changing the knowledge, attitude and views can change the bad mood and behavior in order to learn how to correctly face of life's other problems, thereby promoting overall physical and mental health and development, reduce the emotional impact of the disease. explain the causes of change in mood and behavior and can correct handling life events, reducing the original patient pressure generated by disease and improve the cognitive level of the disease, thus contributing to the recovery of thyroid function. 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