瑞典大学人格量表在强迫症患者中的应用  

Swedish university scales of personality used among obsessive-compulsive disorder

作　　者：蒋文晖 王振[1] 王虓 肖泽萍[1] 张海音[1] 

机构地区：[1]上海交通大学医学院附属精神卫生中心,200030

出　　处：《上海精神医学》2008年第4期206-208,222,共4页Shanghai Archives of Psychiatry

基　　金：上海市卫生局青年科研基金(044Y26)

摘　　要：目的采用瑞典大学人格量表(SSP)探讨强迫症患者的人格特质及其与不同临床特征的关系。方法收集33例符合DSM-IV诊断标准的强迫症患者及31例健康对照,采用瑞典大学人格量表(SSP)评估两组样本的人格特质,采用Yale-Brown强迫量表(Y-BOCS)、汉密尔顿焦虑量表(HA-MA)和汉密尔顿抑郁量表(HAMD)评估强迫症患者临床特征。结果强迫症组躯体性焦虑、精神性焦虑、应激敏感性、怨恨、兴奋性和不信任分量表分别为57.70±11.64、63.19±10.41、66.77±10.31、61.14±7.56、54.09±9.13、57.15±11.57,健康对照组分别为46.18±8.30、52.08±8.42、55.79±7.69、56.37±7.92、48.03±7.69、51.59±9.97,强迫症组高于对照组,差异有统计学意义。其余分量表的差异无统计学意义。强迫症患者SSP社交愿望分与Y-BOCS总分呈正相关(r=0.349,P<0.05);躯体性焦虑、精神性焦虑和应激敏感性分与HAMA、HAMD总分呈正相关;社交愿望分与HAMA呈正相关;怨恨分与HAMD呈正相关。结论强迫症患者具有神经质和攻击性人格特质;强迫症患者的人格特质与强迫、焦虑和抑郁症状之间可能存在一定的相关性。Objective： To investigate the personality of obsessive - compulsive disorder（OCD） patients and the relationship between different clinical features and the personality of OCD patients. Methods ： Thirty - three OCD patients who met the diagnosis criteria of DSM - IV were tested with Yale - Brown obsessive - compulsive scales（ Y - BOCS ）, Hamilton anxiety Scale （ HAMA ）, Hamilton Depression Scale （ HAMD ） and Swedish University Scales of Personality （ SSP）, the result was compared with that of 31 normal controls. Results：The SSP scores of somatic trait anxiety（STA）, psychic trait anxiety （PsTA）, stress susceptibility （SS）, embitterment （E）, trait irritability （TI） and mistrust （ M ） of OCD patients were respectively 57.70 ± 11.64, 63.19 ± 10.41,66.77 ± 10.31,61.14 ±7.56,54.09 ± 9.13,57.15 ± 11.57. The scores of normal controls in these factors were respectively 46.18 ± 8.30,52.08 ±8.42,55.79 ± 7.69,56.37 ± 7.92,48.03 ±7.69,51.59 ± 9.97. The SSP scores of STA, PsTA, SS, E, TI and M of OCD patients were significantly higher than that of normal controls（ P 〈 0.05 ）. There is no significant difference in the other factors of SSP between OCD patients and normal controls （ P 〉 0. 05 ）. The OCD patients ＂ social desirability （ SD ） score of SSP have positive correlation with total score of Y- BOCS（ r = 0. 349 ,P 〈 0.05 ）. And the SSP scores of STA, PsTA and SS of OCD patients have positive correlation with the scores of HAMA and HAMD（ P 〈 0.05 ）. In addition, the score of SS has the positive correlation with the score of HAMA（ P 〈0.05 ） , the score of E has the positive correlation with the score of HAMD （P 〈 0.05 ）. Conclusion OCD patients have the neurotic and aggressive features of personality; the personalities of OCD patients may have some correlation with the symptoms of obsessioncompulsion, anxiety and depression.

关 键 词：瑞典大学人格量表 强迫症 人格特点 

分 类 号：R749.7[医药卫生—神经病学与精神病学]