The Effect Of Psychological Intervention On Clinical Treatment For Patients With Mycoplasma And Chlamydia Infections

Objective:To study the effect of mycoplasma and chlamydia infections on patient's psychological state, some different factors on the psychological barriers of patients infected with mycoplasma and chlamydia, the mechanism of psychological intervention for treating patients with mycoplasma and chlamydia.Methods:The 731 trial participants who had been diagnosed of mycoplasma and chlamydia infections were chosen among our hospital dermatology outpatients from September 2008 to February 2010, evaluated them by Zung SDS and SAS, compared their standard scores with the those of Chinese people having normal depression and anxiety. The patient's gender, age, address, education level, disease course, marital status, having or no extra-marital sexual history, having or no symptoms, having or no experience of giving birth, income, having or no normative first diagnosis and other related information were recorded and then analysed for the relation between the above mentioned factors and their depression, anxiety. Intervention group and non-intervention group were determined by Randomly assigning 120 participants with their standard scores of SDS and SAS over than 50 points. Intervention groups were given to conventional treatment and psychological intervention and non-intervention group for conventional treatment. After 2 weeks of treatment and stopping in using drugs for 1 week the SDS, SAS scores for these patients were under review and the mycoplasma and chlamydia were checked.Results:The incidence rate of depression and anxiety for patients with mycoplasma and chlamydia infections was 18.2% and 25.3% separately. Compared with the standard score of normal depression and anxiety for Chinese people, the SDS and SAS standard scores for patients with mycoplasma and chlamydia infections were higher than them(p<0.05). The age of patients with mycoplasma and chlamydia infections had little effect on the SDS and SAS standard scores(p>0.05). The mycoplasma and chlamydia infections patient's gender, age, address, education level, disease course, marital status, having or no extra-marital sexual history, having or no symptoms, having or no experience of giving birth, income, having or no normative first diagnosis can bring influence on their SDS and SAS standard scores(p<0.05). After psychological intervention and compared with first diagnosis, the SDS and SAS standard scores for these patients were decreased obviously(p<0.05). The effect of treatment for mycoplasma and chlamydia infections patients showed that it was better for the intervention group than the control group(p<0.05).Conclusions:1. patients with mycoplasma and chlamydia infections had common mental disorder.In this survey for 731 patients with mycoplasma and chlamydia infections, their depression, anxiety rates were 18.2% and 25.3% separately. These patients with SDS standard score, SAS standard score were significantly higher than Chinese people's normal depression and anxiety standard scores.2. The age of patients with mycoplasma and chlamydia infections had little effect on their depression and anxiety symptoms, but the gender, education, marital status, having or no extra-marital sexual history, having or no symptoms, having or no experience of giving birth, income level, having or no normative first diagnosis patients can bring influence on depression and anxiety symptoms. 3. Support psychological therapy, cognitive therapy, behavior therapy and other psychological intervention guidance may improve the mycoplasma and chlamydia infections patient's depression and anxiety symptoms and make the better effect of treatment.