躯体形式障碍患者的生活事件和应付方式的研究  

Study about the Life events and coping style in patients with somatoform disorder

作　　者：周晓琴[1] 李晓驷[1] 全艳玲[2] 杜晓玮[1] 江琳琳[2] 胡艳琼[1] 刘勇[1] 

机构地区：[1]安徽省合肥市第四人民医院,230022 [2]安徽医科大学医学心理系

出　　处：《精神医学杂志》2010年第6期427-428,共2页Journal of Psychiatry

摘　　要：目的探讨躯体形式障碍患者的生活事件和应付方式。方法采用自制的一般情况调查表、生活事件量表(LES)及应付方式问卷(YYFS)对30例躯体形式障碍患者以及30名正常志愿者进行测查,比较两组间LES及YYFS评分的差异。结果躯体形式障碍患者的生活事件总分、负性生活事件总分、工作学习方面负性生活事件因子分、在家庭生活方面、社交及其他方面的负性生活事件因子分高于正常对照组,有显著性差异(P<0.05)。与正常对照组应付方式比较,躯体形式障碍患者解决问题因子分低于正常对照组、而自责和退避因子分及幻想因子明显高于正常对照组,存在显著性差异(P<0.05)。结论躯体形式障碍患者经历了更多、更严重的生活事件;躯体形式障碍患者在解决问题上更多的采用幻想、自责和退避的不成熟型方式。Objective To investigate life events and coping style in patients with somatoform disorder. Methods 30 patients with somatoform disorder and 30 healthy controls were assessed with self-made general situation questionnaire, Life Events Scale （LES） and Coping Style Questionnaire （YYFS）. Scores of LES and YYFS were compared between the two groups. Results Compared with the control group, patients with somatoform disorder had significantly higher scores in total score of LES, total score of negative life events, score of negative life events in work and study, as well as the negative life events in family life, social interaction and other aspects （P〈0.05）. Patients with somatoform disorder had significantly lower scores in solving problem and significantly higher scores in self-blame, retreat and fantasy（P 〈0.05）. Conclusion Patients with somatoform disorder experienced more serious life events. They are more prone to adopt immature coping styles such as fantasy, slef-blame and retreat to solve problems.

关 键 词：躯体形式障碍 生活事件 应付方式 

分 类 号：R749.7[医药卫生—神经病学与精神病学]