躯体形式障碍患者临床特征的对照研究  

Control Study on Clinic Characteristics of Patients with Somatoform Disorder

作　　者：李勇[1] 贺丹军[1] 吴玉琴[1] 杨宁波[1] 王昊飞[1] 

机构地区：[1]南京医科大学第一附属医院临床心理科,江苏省南京市210029

出　　处：《中华全科医学》2011年第8期1258-1260,共3页Chinese Journal of General Practice

基　　金：江苏省科技支撑计划项目(社会发展):江苏省亚健康高危人群综合干预研究与示范(BE2009613);2008年度南京医科大学第一附属医院新技术项目(2008-30)

摘　　要：目的分析对比躯体形式障碍患者情绪和个性特征,提高对躯体形式障碍的识别敏感性与临床诊治水平。方法综合性医院门诊收集131例躯体形式障碍患者、94例抑郁症患者、97例焦虑症患者和95例健康志愿者,采用心理测试软件进行90项症状自评量表和艾森克人格问卷测试,对情绪和个性特征进行分析。结果躯体形式障碍组躯体化因子分(2.47±0.65VS2.05±0.58)高于焦虑组,躯体形式障碍组人际关系敏感(2.18±0.75VS2.67±0.68)、抑郁(2.53±0.70VS3.20±0.60)、敌对因子分(2.23±0.64VS2.71±0.55)低于抑郁症组,躯体形式障碍组精神质(54.26±11.18VS39.69±10.11)和神经质因子(62.55±9.88VS53.07±11.35)分高于正常对照组,差别有统计学意义(P<0.05);躯体形式障碍组神经质因子分与强迫、人际关系敏感、抑郁、焦虑、敌对、偏执、精神病性和其他因子分呈正相关。结论躯体形式障碍患者存在多种躯体不适和负面情绪,躯体化症状高于焦虑症,但抑郁程度低于抑郁症,神经质特征与躯体化症状、负面情绪严重程度呈正相关。Objective To research the clinic characteristic of psychosocial factors in the patients with somatoform disorder,and to improve the sensitivity of recognition and the level of clinical diagnosis and treatment.Methods By use of Symptom Check List-90 and Eysenck personality questionnaire,the psychosocial factors of 131 somatoform disorder patients,94 major depression patients,97 anxiety disorder patients and 95 health control subjects were tested.Results Compared with the control subjects,patients with the somatoform disorder had significant more physical indisposition,depression and anxiety score;compared with major depression disorder subjects,the patients with the somatoform disorder had significant less score of interpersonal relationship sensitiveness,depression and hostile factor;In somatoform disorder patients group,the score of nervous temperament factor were positively correlated with the score of compel factor,interpersonal relationship sensitiveness,depression,anxiety,hostile factor,partial and psychosis factor.Conclusion The patients with the somatoform disorder had more physical indisposition and emotion problems,but the level of depression was lower than major depression,nervous temperament were positively correlated with negative emotion.

关 键 词：躯体形式障碍 抑郁症 焦虑症 临床特征 个性特征 

分 类 号：R749.29[医药卫生—神经病学与精神病学]