心理治疗病房住院患者人格特征和人格障碍倾向  

Personality characteristics and trend of personality disorders of patients in psychotherapy ward

作　　者：张红[1] 杨帆[1] 汤炯[1] 

机构地区：[1]华中科技大学同济医学院附属精神卫生中心武汉市心理医院,湖北武汉430019

出　　处：《中国民康医学》2009年第13期1522-1524,共3页Medical Journal of Chinese People’s Health

摘　　要：目的：探索心理治疗病房患者人格异常的特点,为该群体患者的临床诊治提供参考。方法：以MMPI和PDQ-4＋4问卷为工具,调查心理治疗病房年满18岁的住院患者61人。结果：MMPI分析示抑郁、癔症、精神病态、偏执、精神衰弱、精神分裂、神经症质、非社会化8个分量表T分高于60,两高点编码型所占比例最高的是13/31。PDQ-4＋4分量表中阳性率最高的前三位依次是强迫型、边缘型和回避型。PDQ-4总分与MMPI的F、P、Pa、Sc、冲动、酗酒呈较强的正相关,边缘型、抑郁型分量表与MMPI相关的分量表数最多。结论：心理治疗病房住院患者人格全面受损,躯体主诉明显,边缘型人格特征突出,需要系统的药物治疗和住院心理治疗。Objective：To explore the characteristics of personality anomalies of patients in psychotherapy ward, and to offer reference for their clinical treatment. Methods：MMPI and PDQ -4 ＋ were administrated to 61 patients in psychotherapy ward. All of them were at least 18 years of age. Results： The T scores of D, Hy, Pd, Pa, Pt, Sc, N and I in MMPI were all higher than 60, and the highest proportion of two - point code was 13/31. The highest screening positives rates of subscales of PDQ -4 ＋ were in obsessive compulsive, borderline and avoidant. There were positive correlations between total PDQ -4 ＋ scores and F, P, Pa, Sc, impulse and alcoholism of MMPI. The numbers of subscales of MMPI which correlated with two subscales of PDQ - 4 ＋ （ borderline and depression ） were largest. Conclusions： The personalities are damaged across the board in the patients of psychotherapy ward, who a/ways complains about their somatic discomfort, with significant characteristics of borderline personality, and need to be treated by medication and psychotherapy in hospital.

关 键 词：MMPI PDQ-4+ 人格障碍 住院患者 

分 类 号：R749.055[医药卫生—神经病学与精神病学]