摘要
目的探讨儿童期经历创伤所致情绪障碍患者临床症状与人格特征的相关性情况。方法将2018年5月-2020年5月该院收治的50例女性儿童期经历创伤所致情绪障碍患者作为情绪障碍组,以16分作为分组临界值,根据患者的情绪评分将其分为情绪障碍高分组(n=29)和情绪障碍低分组(n=21),将同时期25名健康女性作为对照组,使用创伤后应激障碍17项筛查问卷(PCL-C)、临床用创伤后应激障碍诊断量表(CAPS)、儿童创伤问卷(CTQ)、状态特质焦虑问卷(STAI)等问卷进行调查,对患者的临床症状进行评估,观察3组研究对象的状态焦虑因子评分、特质焦虑因子评分、抑郁评分、衰弱症状评分、紧张症状评分、睡眠障碍评分、疑病评分、癔症评分、心理变态评分、偏执因子评分、精神分裂因子评分、社会内向因子评分情况,同时分析性虐待与闯入、躯体忽视、创伤后应激障碍诊断总分的相关性情况。结果情绪障碍高分组的状态焦虑因子评分(41.08±8.64)分、特质焦虑因子评分(47.52±9.61)分、抑郁评分(57.89±8.45)分、衰弱症状评分(52.16±7.42)分、紧张症状评分(62.17±5.49)分、睡眠障碍评分(49.57±5.08)分明显高于情绪障碍低分组与对照组,差异有统计学意义(F=21.036、20.597、24.169、25.023、19.572、21.473,P<0.05)。并且情绪障碍低分组明显高于对照组,差异有统计学意义(P<0.05);情绪障碍低分组与情绪障碍高分组的疑病评分、癔症评分、心理变态评分、偏执因子评分、精神分裂因子评分及社会内向因子评分明显高于对照组,差异有统计学意义(P<0.05),且情绪障碍高分组的社会内向因子评分明显高于情绪障碍低分组,差异有统计学意义(P<0.05);经分析可知,性虐待与闯入呈正相关,躯体忽视与麻木回避因子、过度警觉呈正相关,躯体虐待与闯入、麻木回避、过度警觉因子、创伤后应激障碍诊断总分呈正相关(P<0.05)
Objective To explore the correlation between clinical symptoms and personality characteristics in patients with emotional disorders caused by trauma in childhood.Methods From May 2018 to May 2020,50 female patients with emotional disorder caused by childhood trauma were regarded as the emotional disorder group,with 16 points as the grouping threshold,and the patients were divided into groups according to their emotional scores,with high mood disorders(n=29)and low mood disorders(n=21),25 healthy women in the same period were used as the control group,and the 17-item screening questionnaire for post-traumatic stress disorder(PCL-C)was used for clinical purposes.The post-traumatic stress disorder diagnostic scale(CAPS),child trauma questionnaire(CTQ),state trait anxiety questionnaire(STAI)and other questionnaires were surveyed to evaluate the clinical symptoms of patients.Observed the state anxiety factor scores,trait anxiety factor scores,depression scores,and debilitating symptoms score,stress symptom score,sleep disorder score,hypochondriasis score,hysteria score,psychopath score,paranoid factor score,schizophrenia factor score,social introversion factor score of the three groups of subjects,and analysis of sexual abuse and intrusion,physical neglect,post-traumatic response correlation of the total score for the diagnosis of stimulus disorder.Results State anxiety factor score(41.08±8.64)points,trait anxiety factor score(47.52±9.61)points,depression score(57.89±8.45)points,debilitating symptom score(52.16±7.42)points,stress symptom score(62.17±5.49)points,sleep disorder score(49.57±5.08)points was significantly higher than the low mood disorder group and the control group,the difference was statistically significant(F=21.036,20.597,24.169,25.023,19.572,21.473,P<0.05),and the mood disorder low group was significantly higher than the control group,the difference was statistically significant(P<0.05);the hypochondriasis score,hysteria score,psychopath score,paranoid factor score,schizophrenia factor score,and
作者
叶帆
陈怡兰
YE Fan;CHEN Yilan(Department of Sleep Medicine,Yuxi Second People's Hospital,Yuxi,Yunnan Province,653100 China)
出处
《系统医学》
2021年第20期56-59,共4页
Systems Medicine
关键词
儿童期
经历创伤
情绪障碍
临床症状
人格特征
相关性
Childhood
Experiencing trauma
Mood disorders
Clinical symptoms
Personality characteristics
Correlation
