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首页> 外文期刊>Nordic journal of psychiatry. >Psychological factors associated with acute and chronic central serous chorioretinopathy
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Psychological factors associated with acute and chronic central serous chorioretinopathy

机译：与急性和慢性中央性浆液性脉络膜视网膜病变相关的心理因素

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Background: Central serous chorioretinopathy (CSC) has been associated with several psychological factors. But previous psychological data are limited and mainly restricted to male patients and small sample size. In this study we investigated psychosomatic complaints, personality factors, life events, and stress coping in acute and chronic recurrent CSC patients. Methods: Ninety-five patients (71 men, 24 women) with either acute or chronic CSC were evaluated regarding critical life events before diagnosis, psychosomatic complaints, personality traits and coping style. The characteristics of CSC patients were compared with a control group comprising 75 patients (46 men, 29 women) suffering from acute or chronic ophthalmic disorders other than CSC. Results: Compared with patients of the control group, CSC patients reported more psychosomatic problems, unfavourable stress coping strategies and critical life events as well as elevated tension, aggression, strain, emotional instability and achievement orientation. Except for aggression the observed characteristics were more pronounced in acute than in chronic CSC patients. Conclusions: The appearance of CSC may be associated with an accumulation of stressful life events with an unfavourable coping style and distinctive personality factors. Acute CSC is related to more unfavourable stress coping and more physical complaints compared to its chronic course. Elevated aggression may imply one potential risk factor for CSC manifestation and also may have an adverse effect with its chronification.
机译：背景：中央性浆液性脉络膜视网膜病变（CSC）与多种心理因素有关。但是以前的心理数据是有限的，并且主要限于男性患者和小样本量。在这项研究中，我们调查了急性和慢性复发性CSC患者的心身主诉，人格因素，生活事件和压力应对。方法：对95例急性或慢性CSC患者（诊断前的关键生活事件，心身不适，人格特质和应对方式）进行了评估。将CSC患者的特征与对照组进行比较，该对照组包括75位患有CSC以外的急性或慢性眼科疾病的患者（46名男性，29名女性）。结果：与对照组患者相比，CSC患者报告了更多的心身问题，不利的压力应对策略和关键的生活事件以及紧张，攻击性，紧张，情绪不稳定和成就取向的升高。除攻击性外，急性方面的观察到的特征比慢性CSC患者更明显。结论：CSC的出现可能与压力性生活事件的积累有关，而不良的应对方式和独特的人格因素也可能导致这种情况。与慢性病相比，急性CSC与更不利的压力应对和更多的身体不适有关。侵略性升高可能暗示了CSC表现的一种潜在危险因素，并且对其正当性可能产生不利影响。

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