回避型人格障碍大学生的自尊与情感  

The relationships of self-esteem and affect of university students with avoidant personality disorder

作　　者：叶刚[1] 姚方敏[1] 付文青[1] 孔明[1] 

机构地区：[1]苏州大学医学部临床心理研究所,江苏苏州215123

出　　处：《中国心理卫生杂志》2011年第2期141-145,共5页Chinese Mental Health Journal

摘　　要：目的:探讨回避型人格障碍(Avoidant Personality Disorder,AVD)大学生外显自尊、内隐自尊、积极情感、消极情感的特点和相互关系,及对AVD的可能预测作用。方法:通过人格障碍诊断问卷(Personality Diagnostic Questionnaire,PDQ+4)及个性障碍晤谈手册(Personality Disorder Interview,PDI-IV)从苏州大学1990名本科生中筛选出符合AVD诊断且无其他人格障碍共病者32名,其中自愿参与试验26名;按性别和年龄比从PDQ+4划界分阴性的大学生中随机抽取30人为正常对照组。采用Rosenberg自尊量表(Rosenberg Self-Esteem Scale,SES)测量外显自尊、内隐联想测验(Implicit Association Test,IAT)测量内隐自尊、积极情感和消极情感量表(Positive and Negative Affect Scale,PANAS)测量情感体验。结果:(1)AVD组SES得分低于正常对照组(P<0.001),而内隐自尊两组差异无统计学意义(P=0.86)。(2)AVD组消极情感得分高于对照组(P<0.01),而积极情感得分低于对照组(P<0.01)。(3)AVD组SES得分与积极情感得分呈正相关(r=0.46,P<0.05);正常对照组SES得分与积极情感得分呈正相关(r=0.61,P<0.01),而与消极情感得分负相关(r=-0.45,P<0.05)。(4)外显自尊对AVD的发生有预测作用(β=0.50,P<0.001),低外显自尊个体更易发生AVD。结论:与正常大学生相比,回避型人格障碍大学生外显自尊较低而内隐自尊没有明显改变,消极情感体验较多而积极情感体验较少。Objective： To study the relationships among explicit self-esteem, implicit self-esteem, positive affect and negative affect of university students with avoidant personality disorder （ AVD）, and explore their effects on the prediction of AVD. Methods： Twenty-six subjects only with AVD selected according to Personality Diagnostic Questionnaire （ PDQ ＋4 ） and Personality Disorder Interview-IV （PDI-IV） from Soochow University＇s 1990 students participated the study voluntarily, 30 normal subjects were selected randomly from the students without any personality disorder matched by gender and age. They were assessed by the Rosenberg Self-Esteem Scale （SES） for explicit self-esteem, Implicit Association Test （IAT） for implicit self-esteem, and Positive and Negative Affect Scale （PANAS） for experience of affect. Results ： （ 1 ） The degree of explicit self-esteem in AVD students was significantly lower than that of the control group C （23.6 ±3.0） vs. （29. 6 ±4. 3）, P 〈0. 001 ] . The implicit self-esteem of two groups had no significant differences （ P = 0. 86 ） . （2） The degree of negative affect of AVD students was significantly higher than that of the control group [ （24. 5 ± 6. 1 ） vs. （20. 2 ± 5.3 ）, P 〈 0. 01 ] while the degree of positive affect was significantly lower [ （23.9 ± 5. 1 ） vs. （27. 8 ± 5.7 ）, P 〈0. 01 ] . （3） Correlation analysis showed AVD students＇explicit self-esteem was positively correlated with positive affect （ r = 0.46, P 〈 0. 05 ） ; normal students＇ explicit self-esteem was positively correlated with positive affect （r=0.61, P〈0.01） and negatively correlated with negative affect （r= -0.45, P〈0.05） . （4） Only explicit self-esteem would be a parameter in the prediction of the form of AVD （β =0. 50, P 〈0. 001 ） . Individu- als with lower explicit self-esteem were easier to be AVD. Conclusion： Compared to normal students, the explicit self-esteem of individuals with AVD is lower w

关 键 词：回避型人格障碍 内隐联想测验 自尊 情感 横断面研究 

分 类 号：R749.91[医药卫生—神经病学与精神病学] B842.6[医药卫生—临床医学]