CAJ | 학술논문

目的：分析恐惧症、强迫症、焦虑和抑郁神经症患者的心理健康状况和个性特征,辅助临床诊断并提供用药指导。方法：对心理科门诊就诊的400例患者采用症状自评量表和艾森克个性问卷方式进行调查,对患者的恐惧症、强迫症、焦虑和抑郁神经症等特征与心理状况进行评定。结果：4种神经症患者的总均分(总分、症状均分、总均分和阳性项目)大于160,其中抑郁症组患者的平均得分高于其它3组( P<0.05)；除“敌对”和“焦虑”外,其他因子间均存在统计学差异(P<0.05)；患者神经质均分超过中间值,掩饰性、精神质、内外向各维度的量表均在中间值,焦虑症在神经质分中比其他3种神经症低,有统计学差异(P<0.05)。结论：焦虑和抑郁症患者躯体化症状明显,抑郁和强迫症以强迫症状为主,抑郁和恐惧症常表现为人际关系紧张,4种神经症主要表现为轻度精神病倾向和神经质倾向。
목적：분석공구증、강박증、초필화억욱신경증환자적심리건강상황화개성특정,보조림상진단병제공용약지도。방법：대심이과문진취진적400례환자채용증상자평량표화애삼극개성문권방식진행조사,대환자적공구증、강박증、초필화억욱신경증등특정여심리상황진행평정。결과：4충신경증환자적총균분(총분、증상균분、총균분화양성항목)대우160,기중억욱증조환자적평균득분고우기타3조( P<0.05)；제“활대”화“초필”외,기타인자간균존재통계학차이(P<0.05)；환자신경질균분초과중간치,엄식성、정신질、내외향각유도적량표균재중간치,초필증재신경질분중비기타3충신경증저,유통계학차이(P<0.05)。결론：초필화억욱증환자구체화증상명현,억욱화강박증이강박증상위주,억욱화공구증상표현위인제관계긴장,4충신경증주요표현위경도정신병경향화신경질경향。
Objective:To analyze phobia, obsessive-compulsive disorder, anxiety, depressive neurosis patients' mental health status and personality characteristics, so as to provide guidance for clinical assistant diagnosis and clinical drug use. Methods:400 ca-ses visiting psychology department in our hospital were investigated by SCL-90, Eysenck personality questionnaire for the patients with phobia, obsessive-compulsive disorder, anxiety, depressive neurosis to understand their personality characteristics and mental health statuses. Results:For the 4 kinds of neurosis, the total mean scores ( total score, symptom mean scores, total mean score, positive i-tems) were all greater than 160, wherein, the mean score of the patients in depression group was higher than those of the other three groups (P<0. 05);in addition to the"hostile" and"anxiety", other factors had statistical differences (P<0. 05). The mean neurotic score exceeded the intermediate value, while the scores of concealment, psychoticism, introversion and extroversion were in the inter-mediate values. The anxiety score in neuroticism was less than those of the other three kinds of neurosis, and there were significantly statistical differences (P<0. 05). Conclusions: The patients with anxiety and depression have an obvious somatization symptoms, those with obsessive-compulsive disorder mainly have obsessive-compulsive symptoms, and those with depression and phobia often show as interpersonal tension. The 4 kinds of neurosis show mild psychoticism and neuroticism tendency.