[Comparative socioeconomic, anamnestic and psychological studies of patients with uterine myoma and uterine prolapse].

M Fellmann, R Battegay, U Rauchfleisch, M Mall-Haefeli
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Abstract

30 female patients with the diagnosis of "uterus myomatosus" and a control group of also 30 women with the diagnosis "descensus uteri et vaginae" were examined by a standardized questionnaire containing socio-economic, anamnestic and psychological data. To get information about their personality the "Freiburger Persönlichkeitsinventar" (Freiburg Personality Inventory), half-form A, was administered at the end of the interview. The age limits were 35 and 55 years. The main socio-economic results are the following: during childhood and adolescence the myom-patients lived mainly near towns (p less than 0,01). The women of this group have better relationships to their husbands than the descensus-patients (p less than 0,01) and the husbands of the myom-patients are more often (p less than 0,01) of the same age or younger than their women. 18 out of the 30 women of the myom-group (i.e. more than 50%) said that their wish to become a mother has not been fulfilled while this answer was given by none of the 30 descensus-patients (p less than 0,01). The question is discussed in how far the uterus-myom can be understood as a somatic expression of the frustrated wish to get a child, as a "compensatory growth". Beside this, the authors are aware of the fact that other aspects, f.e. hormonal factors, may be important.

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子宫肌瘤和子宫脱垂患者的社会经济、记忆和心理比较研究
30名诊断为“子宫肌瘤瘤”的女性患者和30名诊断为“子宫阴道下降”的女性对照组通过包含社会经济、记忆和心理数据的标准化问卷进行了检查。为了获得关于他们性格的信息,在访谈结束时进行了半表格A的“Freiburger Persönlichkeitsinventar”(Freiburg personality Inventory)。年龄限制是35岁和55岁。主要的社会经济结果如下:在儿童期和青春期,子宫肌瘤患者主要居住在城镇附近(p < 0.01)。本组女性与丈夫的关系好于后代患者(p < 0.01),而子宫内膜患者的丈夫往往比其女性同龄或年轻(p < 0.01)。myom组的30名女性中有18名(即超过50%)表示她们成为母亲的愿望尚未实现,而30名后裔患者中没有人给出这一答案(p < 0.01)。讨论的问题是,子宫肌瘤在多大程度上可以被理解为想要一个孩子的受挫愿望的身体表达,作为一种“补偿性生长”。除此之外,作者还意识到其他方面,如激素因素,可能也很重要。
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