CAJ | 학술논문

目的：分析原发性失眠症患者人格发展异常过程。方法运用 GMPI 对原发性失眠症患者与健康人进行调查，分析2组人群差异及发现某些规律。结果失眠患者与健康人在三个年龄段存在的差异不同，其中童年期的差异尚小，仅仅表现于自主性发展水平弱于健康人群；随着年龄的增长，失眠症患者表现出越来越多的人格发展不足，重点表现在思维方式、社会恐惧感、自主性三个方面（P ＜0.05或0.01）；不同年龄的患者在三个阶段表现出不同的发展特点。上小学之前，小于36岁的患者与大于50岁的患者表现出较明显的差异（P ＜0.05或0.01），但36～50岁之间的患者未发现与这2组患者的明显差异；在上小学至18岁这个年龄段的人格发展方面，继续保持这一趋势，但在这个阶段，在某些方面，小于36岁的患者组与36～50岁之间的患者组的差异也渐趋明显，尤其体现在不良教养方式以及社会自我、心理自我、独立性及自主性等方面。普遍的，小于36岁的患者组失眠症患者在自我分量表以及情绪情感分量表表现出的发展水平较低，而特殊的，在事业观维度，小于36岁的患者组表现出较高的发展水平。结论原发性失眠症患者与健康人的人格发展过程存在差异，而且具有时代烙印。
목적：분석원발성실면증환자인격발전이상과정。방법운용 GMPI 대원발성실면증환자여건강인진행조사，분석2조인군차이급발현모사규률。결과실면환자여건강인재삼개년령단존재적차이불동，기중동년기적차이상소，부부표현우자주성발전수평약우건강인군；수착년령적증장，실면증환자표현출월래월다적인격발전불족，중점표현재사유방식、사회공구감、자주성삼개방면（P ＜0.05혹0.01）；불동년령적환자재삼개계단표현출불동적발전특점。상소학지전，소우36세적환자여대우50세적환자표현출교명현적차이（P ＜0.05혹0.01），단36～50세지간적환자미발현여저2조환자적명현차이；재상소학지18세저개년령단적인격발전방면，계속보지저일추세，단재저개계단，재모사방면，소우36세적환자조여36～50세지간적환자조적차이야점추명현，우기체현재불량교양방식이급사회자아、심리자아、독립성급자주성등방면。보편적，소우36세적환자조실면증환자재자아분량표이급정서정감분량표표현출적발전수평교저，이특수적，재사업관유도，소우36세적환자조표현출교고적발전수평。결론원발성실면증환자여건강인적인격발전과정존재차이，이차구유시대락인。
Objective To analyze the abnormal personality development of primary insomnia.Methods to investi-gate the patients and healthy controls by GMPI,and to find the differences and regularity.Results Differences in three periods of patients are various:during childhood,the differences are relatively minor,which manifested in lower autonomylevel in primary insomnia;as growing up,more deficits in personality development of primary insomnia appear,which mainly resides in abnormal thinking mode,excessive social phobia,and alower autonomy level (P <0.05 or 0.01).Those who live in different times manifest their own developmental characteristics.In childhood,those younger than 36 years old developed obvious differently from those who older than 50 years old (P <0.05 or 0.01),while those age between them did notmanifest such obvious regularity among them;as in the second developmental period,the trend continued.However,in certain dimensions,patients whose age between 36 and 50 years turned out to be develop differently than those older than 50 years old (P <0.05 or 0.01),especially inparent-child relationship dimensions and autonomy dimensions.Generally,patients younger than 36 years old had lower developmental level in autonomy and emotions dimensions.Particularly,they had superior developmental level in career value.Conclusion Differences in personality developmental level between primary insomnia and healthy controls are found;what is more,the differences have brand of times.