摘要
目的对强迫性障碍患者的应付方式特征及其相关因素进行研究。方法选取强迫性障碍患者(研究组)和正常对照(对照组)各30例,采用应付方式问卷、父母教养方式评价量表(EMBU)和艾森克人格问卷(EPQ)对两组进行评定。结果研究组应付方式问卷自责、幻想、退避、合理化评分高于对照组(P<0.05),而解决问题评分低于对照组(P<0.05)。研究组EMBU父亲、母亲情感温暖、理解因子分低于对照组(P<0.05),惩罚、严厉、过分干涉、过度保护、拒绝、否认因子分高于对照组(P<0.05)。研究组EPQ情绪稳定性、精神质因子分高于对照组(P<0.05),而内-外向因子分低于对照组(P<0.05)。研究组EMBU父亲拒绝否认与解决问题呈负相关(P<0.05)。研究组EMBU母亲过干涉、过保护和拒绝否认与自责、幻想、退避、合理化呈正相关(P<0.05),惩罚严厉与幻想、合理化呈正相关(P<0.05)。研究组EPQ内外向因子与解决问题及求助呈正相关(P<0.05),与退避应对方式呈负相关(P<0.05);情绪稳定性与自责、幻想、退避、合理化应付方式呈正相关(P<0.05);神经质与解决问题呈负相关(P<0.05);掩饰性与自责、求助、幻想呈负相关(P<0.05)。结论强迫性患者较多应用不成熟型应付方式,较少应用成熟的应付方式。并与父母不良的教养方式和患者个性缺陷有关。
Objective To explore coping style and its related factors in patients with obsessive-compulsive disorder(OCD).Methods A total of 30 patients with OCD in study group and 30 healthy controls in control group were selected and assessed with Coping Style Questionnaire,Egna Minnen av Barndoms Uppfostran(EMBU)and Eysenck Personality Questionnaire(EPQ).Results The factor scores of self-blame,illusion,withdrawal and rationalization of Coping Style Questionnaire in study group were all significantly higher than those in control group(P<0.05),but the factor score of solving problem in study group was significantly lower than that in control group(P<0.05).The factor scores of paternal as well as maternal emotional warmth and understanding of EMBU in study group were significantly lower than those in control group(P<0.05),and the factor scores of punishment,over intervention,over protection and refusal of EMBU in study group were all significantly higher than those in control group(P<0.05).The factor scores of emotional stability and psychoticism of EPQ in study group were significantly higher than those in control group(P<0.05);and the factor score of introversion or extraversion of EPQ in study group was significantly lower than that in control group(P<0.05).In study group,the factor score of paternal refusal was negatively correlated with solving problem(P<0.05);the factor scores of maternal over intervention,over protection and refusal were positively correlated with self-blame,illusion,withdrawal and rationalization(P<0.05),and the factor score of punishment was positively correlated with illusion and rationalization(P<0.05).In study group,the factor score of introversion or extraversion was positively correlated with solving problem and seeking help(P<0.05),and was negatively correlated with withdrawal(P<0.05).In study group,the factor score of emotional stability was positively correlated with self-blame,illusion,withdrawal and rationalization(P<0.05).In study group,the factor score of neuroticism was negatively corre
作者
刘灏
孙丰霞
LIU Hao;SUN Fengxia.(Shandong Mental Health Center,Jinan 250014,China)
出处
《精神医学杂志》
2019年第1期41-44,共4页
Journal of Psychiatry
关键词
强迫性障碍
应付方式
养育方式
Obsessive-compulsive disorder
Coping style
Rearing pattern
