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.
作者
董香丽
孙伟铭
袁也丰
Dong Xiangli;Sun Weiming;Yuan Yefeng(Department of Reproductive Medicine,Affiliated Hospital of Nanchang Medical Science Research Institute,Nanchang,Jiangxi 330019,China;Department of Rehabilitation Medicine,First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330000,China;Department of Psychosomatic Medicine,First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330000,China)
出处
《现代临床医学》
2019年第2期95-97,101,共4页
Journal of Modern Clinical Medicine
基金
江西省卫生计生委科技计划项目(20155143)
南昌大学创新项目支撑(cx2016310)
关键词
躯体形式障碍
心理健康状况
人格特征
相关性
somatoform disorder
mental health
personality characteristics
correlation
