躯体形式障碍患者的人格特征与心理健康状况分析
|
摘要
目的:探讨躯体形式障碍(somatoform disorder,SD)患者的人格特征与心理健康状况,为该群体综合治疗提供依据。方法:采用症状自评量表(SCL-90)、明尼苏达多项人格测验(MMPI)分别对72例SD患者进行测评,分析患者心理健康状况和人格特征,并探讨两者之间的关系。结果:(1)SD患者躯体化因子平均(2.14±0.88)分,SCL-90各因子分均显著高于中国常模分数(P<0.05或P<0.01)。(2)男性、女性SD患者在Hs、D、Hy、Pd、Pa、Pt、Sc这7个MMPI临床量表评分均分别显著高于中国常模(P<0.01);男性与女性SD患者MMPI临床量表评分差异无统计学意义(P>0.05)。(3)MMPI临床量表评分高峰次序男性为Hs、D、Hy(T分>70)、Pd、Pt、Pa、Sc(T分>60),女性为Hs、Hy、D(T分>70)、Pt(T分>60)。(4)SCL-90总分、躯体化因子与MMPI除Mf外的各量表得分,在统计上均呈显著相关(P<0.05或P<0.01)。结论:SD患者的心理健康状况较差,人格存在一定的不良倾向,且两者具有相关性。
Objective:To explore the personality characteristics and mental health status of patients with somatoform disorders, and to provide a basis for comprehensive treatment of this population.Methods:72 patients with somatoform disorder were assessed with Symptom Checklist 90(SCL-90) and Minnesota Multiple Personality Test Questionnaire(MMPI), and their mental health and personality characteristics were analyzed, and the relationship between them was discussed.Results:(1) The average score of somatization factors in patients with somatoform disorders was(2.14±0.88) points. The scores of SCL-90 were higher than those of the Chinese norm(P<0.05 or P<0.01).(2) The scores of the seven MMPI clinical scales of Hs, D, Hy, Pd, Pa, Pt and Sc in male and female patients with somatoform disorders were higher than those of the Chinese norm(P<0.01); there was no significant difference in the T scores of the MMPI clinical scales between male and female patients with somatoform disorders(P>0.05).(3) The peak order of MMPI clinical scale for males was Hs, D, Hy(T score>70), Pd, Pt, Pa and Sc(T score>60), and Hs was the highest score. The peak order of female clinical scale was Hs, Hy, D(T score>0) and Pt(T score>60), and Hs score was the highest.(4) The total score of SCL-90 and somatization factor were significantly correlated with the scores of MMPI except Mf(P<0.05 or P<0.01).Conclusion:The mental health of patients with somatoform disorder is poor, their personality has some unhealthy tendencies, and the two are correlated.
Objective:To explore the personality characteristics and mental health status of patients with somatoform disorders, and to provide a basis for comprehensive treatment of this population.Methods:72 patients with somatoform disorder were assessed with Symptom Checklist 90(SCL-90) and Minnesota Multiple Personality Test Questionnaire(MMPI), and their mental health and personality characteristics were analyzed, and the relationship between them was discussed.Results:(1) The average score of somatization factors in patients with somatoform disorders was(2.14±0.88) points. The scores of SCL-90 were higher than those of the Chinese norm(P<0.05 or P<0.01).(2) The scores of the seven MMPI clinical scales of Hs, D, Hy, Pd, Pa, Pt and Sc in male and female patients with somatoform disorders were higher than those of the Chinese norm(P<0.01); there was no significant difference in the T scores of the MMPI clinical scales between male and female patients with somatoform disorders(P>0.05).(3) The peak order of MMPI clinical scale for males was Hs, D, Hy(T score>70), Pd, Pt, Pa and Sc(T score>60), and Hs was the highest score. The peak order of female clinical scale was Hs, Hy, D(T score>0) and Pt(T score>60), and Hs score was the highest.(4) The total score of SCL-90 and somatization factor were significantly correlated with the scores of MMPI except Mf(P<0.05 or P<0.01).Conclusion:The mental health of patients with somatoform disorder is poor, their personality has some unhealthy tendencies, and the two are correlated.
引文
[1]KAILASH S, MEHTA M, SAGAR R. A practical approach to cognitive behaviour therapy for adolescents[M]//Somatoform disorders.[S.l.]:Springer India, 2015:263-284.
[2]李昌俊,郑涌,刘新丰,等.影响躯体化症状的人格因素及其实践意义[J].中国神经精神疾病杂志,2010,36(2):125-128.
[3]张作记.行为医学量表手册[M].北京:中华医学电子音像出版社,2005:235-236.
[4] MMPI全国协作组(宋维真执笔). 明尼苏达多相人格测查表使用指导手册[M]. 北京: 中国科学院心理研究所,1989.
[5]谢韫诗,王旭梅.躯体形式障碍患者的症状特点及性别差异[J].临床精神医学杂志,2014,24(3):174-177.
[6]朱君,孟广彦,杨红梅,等.躯体形式障碍患者心理健康状况及其述情障碍分析[J].精神医学杂志,2012,25(2):116-117.
[7]常桂花,孔伶俐,刘春文.躯体形式障碍患者述情障碍和人格特征的研究[J].中华行为医学与脑科学杂志,2013,22(2):131-133.
[8]杨泗学,张凯,李祎,等.躯体形式障碍患者非理性信念、应对方式及社会支持研究[J].中国临床心理学杂志,2014,22(6):1020-1022.
[9]李瑞,陈力,张聪沛,等.躯体形式障碍患者明尼苏达多相个性调查问卷模式分析[J].中国行为医学科学,2006,15(6):521-523.
[10]BOECKLE M, SCHRIMPF M, LIEGL G, et al. Neural correlates of somatoform disorders from a meta-analytic perspective on neuroimaging studies[J]. Neurolmage: Clinical, 2016, 11: 606-613.
[11]周晓琴,全艳玲,杜晓玮,等.躯体形式障碍患者防御方式与父母养育方式的相关性[J].安徽医科大学学报,2011,46(5):459-462.
[12]张朝辉,欧阳华,李强,等.躯体化障碍患者述情障碍与心理状况、人格特征的相关研究[J].中国现代医学杂志,2013,23(3):68-71.
[2]李昌俊,郑涌,刘新丰,等.影响躯体化症状的人格因素及其实践意义[J].中国神经精神疾病杂志,2010,36(2):125-128.
[3]张作记.行为医学量表手册[M].北京:中华医学电子音像出版社,2005:235-236.
[4] MMPI全国协作组(宋维真执笔). 明尼苏达多相人格测查表使用指导手册[M]. 北京: 中国科学院心理研究所,1989.
[5]谢韫诗,王旭梅.躯体形式障碍患者的症状特点及性别差异[J].临床精神医学杂志,2014,24(3):174-177.
[6]朱君,孟广彦,杨红梅,等.躯体形式障碍患者心理健康状况及其述情障碍分析[J].精神医学杂志,2012,25(2):116-117.
[7]常桂花,孔伶俐,刘春文.躯体形式障碍患者述情障碍和人格特征的研究[J].中华行为医学与脑科学杂志,2013,22(2):131-133.
[8]杨泗学,张凯,李祎,等.躯体形式障碍患者非理性信念、应对方式及社会支持研究[J].中国临床心理学杂志,2014,22(6):1020-1022.
[9]李瑞,陈力,张聪沛,等.躯体形式障碍患者明尼苏达多相个性调查问卷模式分析[J].中国行为医学科学,2006,15(6):521-523.
[10]BOECKLE M, SCHRIMPF M, LIEGL G, et al. Neural correlates of somatoform disorders from a meta-analytic perspective on neuroimaging studies[J]. Neurolmage: Clinical, 2016, 11: 606-613.
[11]周晓琴,全艳玲,杜晓玮,等.躯体形式障碍患者防御方式与父母养育方式的相关性[J].安徽医科大学学报,2011,46(5):459-462.
[12]张朝辉,欧阳华,李强,等.躯体化障碍患者述情障碍与心理状况、人格特征的相关研究[J].中国现代医学杂志,2013,23(3):68-71.