目的：探讨一起集体性癔症的诱因，描述其临床特征，并对干预措施进行总结。方法某工厂发生应激事件后54例患者诊断为集体性癔症，收集患者社会人口学资料、发病前情况和临床症状等，予以药物和心理治疗，并于治疗前及治疗1周、2周和4周后进行汉密尔顿焦虑量表（Hamilton anxiety scale，HAMA）评定。结果患者平均（20.26±2.04）岁，女38例，男16例。患者均目击了斗殴事件过程，50例患者表示事件后最担心自身安全。47例（87.0%）患者出现痉挛或抽搐发作，分别有32例（59.3%）和29例（53.7%）患者出现情感爆发和发作性晕厥；癔症性精神障碍和躯体障碍混合发作者34例（62.96%）。治疗1周、2周和4周后的HAMA评分与治疗前相比均降低（均P<0.01）。结论目击斗殴事件、对自身安全的担心是本次集体性癔症的诱因，患者以癔症性精神障碍和躯体障碍混合发作为主要症状。控制集体性癔症流行的首要任务在于缓解人群的焦虑情绪。%Objective To explore the clinical features, inducements and interventions in a case of mass hysteria. Methods A mass hysteria strook after a fight gang in a factory. Fifty-four cases were diagnosed as mass hysteria. The general information and clinical symptoms of all patients with mass hysteria were collected. All patients were assessed us-ing Hamilton anxiety scale (HAMA) before treatment, and at the end of one, two and four weeks of the treatment, respec-tively. Results The patients were thirty-eight females (70.4%) and sixteen males (29.6%), with average age (20.26±2.04) years old. Fifty patients showed anxious about self-safety mostly. The most common symptoms were convulsions or con-vulsive seizure in forty-seven cases (87.0%), outburst of emotion in thirty-two cases (59.3%), and episodic syncope in twenty-nine cases (53.7%). Thirty-four cases (62.96%) were disscoiative disorders mixed with conversion disorders. The scores of HAMA at the end of one, two and four weeks of the treatment were lower than that before treatment (all P<0.05). Conclusions The inducements of such an episode of mass hysteria are witness of fighting and the overwhelming anxiety about self-security. Disscoiative disorders mixed with conversion disorders is the major clinical feature. In order to control the episode of mass hysteria, the priority task is to relieve people’s anxiety.
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