癔症患病行为与家庭动力的相关性研究  

Correlation of illness behavior and family dynamics in patients with hysteria

作　　者：周朝当[1] 王丽芳[1] 王秀锦[1] 

机构地区：[1]红河州第二人民医院,云南红河654300

出　　处：《临床心身疾病杂志》2006年第3期187-189,共3页Journal of Clinical Psychosomatic Diseases

摘　　要：目的了解癔症患者患病行为与家庭动力及其他因素的关系。方法对58例癔症患者应用患病行为问卷和系统家庭动力学自评表进行调查,并与38例正常人群的家庭动力学指标对照,并对相关因素进行相关回归分析。结果癔症组家庭动力学较对照组倾向于敌对、沉闷,而系统逻辑倾向于“既…又…”;家庭气氛与情绪状态呈正相关,疾病观念与情绪状态呈负相关,疑病指数与年龄呈正相关,一般疑病、情绪状态与病程呈正相关,受教育年限与心理取向呈负相关、与情感压抑呈正相关,易激惹性与家庭人数呈负相关。回归分析显示,因子Ⅳ疾病观念影响情绪状态,其余影响因素与相关对应。结论癔症的患病行为与家庭动力因素相关并不明显,属于一种习得性行为,自身的一些因素对其有影响。Objective To explore the correlation of illness behavior and family dynamics and other factors in patients with hysteria. Methods 58 patients with hysteria were investigated using the Illness Behavior Questionnaire（IBQ） and the Family Dynamics Self-assess Questionnaire （FDSQ） and compared with 38 normal persons, correlative-regression analyses were conducted for relative factors. Results Compared with the normal, family dynamics in hysteria group tended to hostile and depressing, and the system logic to＂both…and＂; family atmosphere was positively relative to emotional state, disease concept negatively to emotional state, hypochondriac index positively to ages, general hypochondria and emotional state positively to the course of illness, educated-years negatively to psycho-orientation and positively to affective depression, and irritability negatively to the family population. Regression analysis showed that factor Ⅳ of disease concept affected emotional state, while the other influencing factors were correspond to relevance. Conclusion The illness behavior has no significant relationship to family dynamic factors, is an acquire behavior and affected by auto-factors.

关 键 词：癔症 家庭动力因素 患病行为 系统家庭动力学自评表 患病行为问卷 

分 类 号：R749.73[医药卫生—神经病学与精神病学]