各类精神障碍患者个性特征差异分析  

ANALYSIS OF PERSONALITY CHARACTERISTICS OF MENTAL DISORDERS PATIENTS

作　　者：朱孔香 

机构地区：[1]山东省临沂市荣军医院,临沂276005

出　　处：《现代预防医学》2009年第11期2089-2090,2095,共3页Modern Preventive Medicine

摘　　要：[目的]探讨神经症、癔症、精神分裂症患者明尼苏达多相人格问卷(MMPI)信度和效度量表这一方面的个性特征及其差异。[方法]应用MMPI测试软件对96例神经症患者,75例癔症患者及106例精神分裂症患者分别进行测试,记录三组患者信度和效度量表17个因子的得分,并进行统计学分析。[结果]3组患者经信度和效度量表测查,除隐性癔症和显性偏执因子外其他15个因子经单因素方差分析均存在统计学差异,其中MMF、Aia、PDO、PAO、MAO神经症[(62.88±9014)分、(55.69±8.93)分、(63.18±10.92)分、(60.06±11.82)分、(57.28±9.54)分]癔症[(60.49±10.25)分、(54.84±8.81)分、(60.97±10.59)分、(60.55±13.62)分、(58.76±9.41)分]均高于精神分裂症[(56.38±11.27)分、(51.07±9.73)分、(56.87±11.12)分、(56.56±12.85)分、(54.29±11.23)分](P﹤0.05,P﹤0.01);Rc癔症(39.97±10.44)分低于精神分裂症组(44.11±11.81)分(P﹤0.05);Acq、Tt、符合社会期望及MAS神经症[(41.82±10.06)分、(45.61±9.48)分、(43.45±10.64)分、(48.95±9.08)分]低于癔症[(50.24±10.76)分、(50.63±8.19)分、(51.09±10.59)分、(53.16±8.17)分]和精神分裂症[(51.07±9.73)分、(52.74±9.38)分、(53.87±10.16)分、(53.37±9.12)分](P﹤0.01);DS、PDS、PAS神经症[(49.52±10.52)分、(53.54±10.45)分、(56.14±10.48)分]高于癔症[(44.75±11.80)分、(48.05±10.94)分、(52.67±10.26)分]和精神分裂症[(46.15±11.74)分、(48.15±10.41)分、(52.39±9.57)分](P﹤0.01,P﹤0.05);SSM神经症[(40.61±11.12)分]低于癔症[(44.73±10.32)]分(P﹤0.01),癔症又低于精神分裂症[(49.83±11.43)分](P﹤0.01);DO、HYO神经症[(67.80±11.38)分、(66.76±10.98)分]高于癔症[(59.67±12.85)分、(60.13±12.73)分]((P﹤0.01))、癔症又高于精神分裂症[(55.15±11.66)分、(55.33±11.82)分](P﹤0.01)。[结论]神经症、癔症和精神分裂症患者之间存在多个个性特征方面之间的差异。癔症患者既有与神经症相似的个性特征,亦有和精神[Objective] To explore the personality characters of patients with mental disorders and to determine the differences of dimension, trait level and model of personality among schizophrenia, hysteria and neurosis. [ Methods] 96 neurosis, 75 hysteria and 106 schizophrenia patients were tested by MMPI.The scores of 17 factors of reliability and validity scales were acquired and analyzed. [ Results] Except for the scores of PAO, Hys, there were significant differences in personality characteristics among three group patients. The scores of MMF. Aia, DO, HYO. PDO. PAO and MAO of neurosis and hysteria patients were significantly higher than that of schizophrenia patients （P 〈 0.05. P 〈 0.01 ）. The scores of Rc of hysteria patients were significantly lower than that of schizophrenia patients （P 〈 0.05）. The scores of Acq. Tt. MAS and Match a society expectation of neurosis patients were significantly lower than that of hysteria and schizophrenia patients （P 〈 0.01 ）. The scores of SSM of neurosis patients were lowest among patients in three group （P 〈 0.01） the second lower was hysteria patients （P 〈 0.01）. The scores of DS, PDS, PAS of neurosis patients were the highest in three groups （P 〈 0.05. P 〈 0.01）. [Conclusion] There are personality characteristics changes of the schizophrenia, hysteria and neurosis patients, and there are significant differences among three groups.

关 键 词：神经症 癔症 精神分裂症 明尼苏达多相人格问卷 信度和效度量表 个性特征 

分 类 号：R749[医药卫生—神经病学与精神病学]