中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2013年
2期
131-133
,共3页
躯体形式障碍%述情障碍%人格特征
軀體形式障礙%述情障礙%人格特徵
구체형식장애%술정장애%인격특정
Somatoform disorders%Alexithymia%Personality characteristics
目的 探讨躯体形式障碍患者的述情障碍和人格特征及两者间的关系.方法 采用多伦多述情障碍量表(TAS)、明尼苏达多相个性调查问卷(MMPI)分别对60例躯体形式障碍患者(研究组)及60名健康者(对照组)测评,分析躯体形式障碍患者的述情障碍和人格特征及两者间的关系.结果 患者组TAS总分及因子I、Ⅱ、Ⅲ、Ⅳ评分[分别为(86.20±11.15)分、(21.12±3.28)分、(26.08±3.86)分、(18.21±4.69)分、(23.44±5.60)分]均高于对照组[分别为(65.00±10.12)分、(12.43 ±5.18)分、(15.64±5.57)分、(15.56±3.16)分、(18.71 ±4.30)分],其MMPI各临床量表中疑病、抑郁、癔症、男性,女性化、偏执、精神病态平均T分值[分别为(72.79±10.50)分、(68.46±13.63)分、(79.03±12.12)分、(51.72±7.74)分、(57.98±10.60)分、(54.98±8.83)分]均高于对照组[分别为(51.66±10.11)分、(47.96 ±9.42)分、(51.47±11.90)分、(43.66±8.77)分、(47.67±6.69)分、(47.48±8.67)分],差异均具有统计学意义(P＜0.05)；患者组TAS因子I与抑郁、精神病态、偏执均呈正相关,因子Ⅱ与抑郁呈正相关(r分别为0.454,0.405,0.477,0.437,P＜0.05).结论 躯体形式障碍患者有一定的人格基础,存在明显的述情障碍,并且这两者密切相关.
目的 探討軀體形式障礙患者的述情障礙和人格特徵及兩者間的關繫.方法 採用多倫多述情障礙量錶(TAS)、明尼囌達多相箇性調查問捲(MMPI)分彆對60例軀體形式障礙患者(研究組)及60名健康者(對照組)測評,分析軀體形式障礙患者的述情障礙和人格特徵及兩者間的關繫.結果 患者組TAS總分及因子I、Ⅱ、Ⅲ、Ⅳ評分[分彆為(86.20±11.15)分、(21.12±3.28)分、(26.08±3.86)分、(18.21±4.69)分、(23.44±5.60)分]均高于對照組[分彆為(65.00±10.12)分、(12.43 ±5.18)分、(15.64±5.57)分、(15.56±3.16)分、(18.71 ±4.30)分],其MMPI各臨床量錶中疑病、抑鬱、癔癥、男性,女性化、偏執、精神病態平均T分值[分彆為(72.79±10.50)分、(68.46±13.63)分、(79.03±12.12)分、(51.72±7.74)分、(57.98±10.60)分、(54.98±8.83)分]均高于對照組[分彆為(51.66±10.11)分、(47.96 ±9.42)分、(51.47±11.90)分、(43.66±8.77)分、(47.67±6.69)分、(47.48±8.67)分],差異均具有統計學意義(P＜0.05)；患者組TAS因子I與抑鬱、精神病態、偏執均呈正相關,因子Ⅱ與抑鬱呈正相關(r分彆為0.454,0.405,0.477,0.437,P＜0.05).結論 軀體形式障礙患者有一定的人格基礎,存在明顯的述情障礙,併且這兩者密切相關.
목적 탐토구체형식장애환자적술정장애화인격특정급량자간적관계.방법 채용다륜다술정장애량표(TAS)、명니소체다상개성조사문권(MMPI)분별대60례구체형식장애환자(연구조)급60명건강자(대조조)측평,분석구체형식장애환자적술정장애화인격특정급량자간적관계.결과 환자조TAS총분급인자I、Ⅱ、Ⅲ、Ⅳ평분[분별위(86.20±11.15)분、(21.12±3.28)분、(26.08±3.86)분、(18.21±4.69)분、(23.44±5.60)분]균고우대조조[분별위(65.00±10.12)분、(12.43 ±5.18)분、(15.64±5.57)분、(15.56±3.16)분、(18.71 ±4.30)분],기MMPI각림상량표중의병、억욱、억증、남성,녀성화、편집、정신병태평균T분치[분별위(72.79±10.50)분、(68.46±13.63)분、(79.03±12.12)분、(51.72±7.74)분、(57.98±10.60)분、(54.98±8.83)분]균고우대조조[분별위(51.66±10.11)분、(47.96 ±9.42)분、(51.47±11.90)분、(43.66±8.77)분、(47.67±6.69)분、(47.48±8.67)분],차이균구유통계학의의(P＜0.05)；환자조TAS인자I여억욱、정신병태、편집균정정상관,인자Ⅱ여억욱정정상관(r분별위0.454,0.405,0.477,0.437,P＜0.05).결론 구체형식장애환자유일정적인격기출,존재명현적술정장애,병차저량자밀절상관.
Objective To study the alexithymia and personality characteristics in patients with somatoform disorders.Methods Totally 60 patients with somatoform disorders and 60 normal controls were tested with Toronto alexithymia scale (TAS) and Minnesota Multiphasic Personality Inventory (MMPI).Results The patients with somatization disorders showed alexithymia and personality base.The total and factor scores of TAS of study group((86.20 ± 11.15),(21.12 ± 3.28),(26.08 ± 3.86),(18.21 ± 4.69),(23.44 ±5.60)) were higher than controlled group((65.00 ± 10.12),(12.43 ±5.18),(15.64 ±5.57),(15.56 ±3.16),(18.71 ±4.30)) with significant difference (t =2.11-6.22,P =0.000-0.042).The MMPI scale scores of Hs (hypochondriasis),D (depression),Hy(hysteria),Men-Nancy(Mf),paranoid(Pa),psychotic(Pt) were higher in patients with somatoform disorders ((72.79 ± 10.50),(68.46 ± 13.63),(79.03 ± 12.12),(51.72 ± 7.74),(57.98 ± 10.60),(54.98 ±8.83)) than those in normal controls ((51.66 ± 10.11),(47.96 ±9.42),(51.47± 11.90),(43.66 ±8.77),(47.67 ± 6.69),(47.48 ±8.67)) with significant difference (t =2.56-6.86,P =0.000-0.015),especially the scale scores of Hy and Hs were the most significantly among those (T ＞ 70).There was close correlation between personality traits and alexithymia.Factor Ⅰ was positively related to depression,paranoid and psychotic,the relevancy was 0.454(P =0.023),0.405 (P=0.044),0.477 (P=0.016) respectively,besides Factor Ⅱ was also positively related to depression,and the relevancy was 0.437(P=0.029).Conclusion Patients with somatoform disorders have the alexithymia and the personality characteristics,and there are close relationship between them.
