Group psychotherapy of patients with hyperprolactinemic hypogonadism

Abstract

The study was made of alteration in mental state and behavior in the 18 females aged 19-43 years with hyperprolactinemic hypogonadism during treatment with interpersonal psychotherapy. Psychotherapy was directed to overcoming the dominant in such patients instinctive "parental style of behavior". Psychotherapy resulted in clinically and statistically significant improvements in subjective and objective symptoms, restoration of menses, reduction of sexual disorders, attenuasion of headache. In two cases pregnancy came easily. The patients improved prycholosically due to weaker anxiety, tension and neuro-vegetative symptoms. The Hamilton Rating Scale for Anxiety declined from 13,8 to 9,3. Lower profile by MMPY by 0, 2 and 6 scales indicated improvement in overall social functioning, reduction of circumspection, affective rigidity and depressive symptoms. There was no substantial influence of psychotherapy on the prolactin level and galactorrhea.