西南边疆民族地区汉族青少年人格障碍调查研究  

Investigation of Personality Disorders of Han Adolescents in Minority Areas of Southwestern Frontier of China

作　　者：付艳芬[1] 尹可丽[2] 罗鸣春[3] 王剑华[4] 

机构地区：[1]大理学院护理学院,云南省大理市671000 [2]云南师范大学 [3]云南民族大学 [4]大理学院基础医学院

出　　处：《中国全科医学》2012年第25期2946-2949,2955,共5页Chinese General Practice

基　　金：2011年国家社会科学基金项目:边疆少数民族心理和谐研究(11BMZ004)

摘　　要：目的了解西南边疆民族地区汉族青少年人格障碍情况。方法采用人格诊断问卷(PDQ-4+)对云南边疆民族地区11所中学、中专和职中的1 068例学生进行调查。结果 (1)青少年12种人格障碍亚型的阳性检出率比较差异有统计学意义(P<0.05),检出率最高的是强迫型(40.5%,405/1 000),最低的是偏执型(6.9%,69/1 000)。(2)不同性别青少年在分裂样型、分裂型、反社会型、边缘型、回避型、依赖型、抑郁型分量表得分间差异有统计学意义(P<0.05),农村与城市青少年在回避型、抑郁型、强迫型、被动攻击型分量表得分间差异有统计学意义(P<0.05)。(3)独生子女与非独生子女青少年在自恋型、回避型、反社会型、抑郁型分量表得分间差异有统计学意义(P<0.05)。(4)不同年龄的汉族青少年在偏执型和自恋型分量表得分间差异有统计学意义(P<0.05)。(5)母亲不同文化程度的青少年在自恋型、回避型、抑郁型、偏执型、边缘型、表演型、强迫型分量表得分间差异有统计学意义(P<0.05)。结论西南边疆民族地区汉族青少年存在一定的人格障碍问题。Objective To explore the current status quo of the personality disorders of Han adolescents in minority are- as of southwestern frontier of China. Methods Totally 1 068 adolescents from 11 middle schools, technical secondary school, and vocational middle school of Yunnan＇s frontier areas was surveyed by using the Personality Diagnostic Questionnaire -4 ＋ （ PDQ - 4 ＋） about personality disorders. Results （ 1 ） Among these adolescent students, the positivity rates of 12 personality disorder subtypes showed significant difference （P 〈 0. 05 ）, with the lowest detection rate being 6.9% （ paranoid type） and the highest detection rate being 40. 5% （ compulsive type ）. （ 2 ） In scores of schizoid, schizotypal, antisocial, borderline, avoidant, dependent, and depressive types there were significant differences between two genders （ P 〈 0. 05 ） . And in scores of avoidant, depressive, compulsive, and passive - aggressive types thee were significant differences between rural and urban ado- lescents （P 〈 0. 05）. （3） In scores of narcissistic, avoidant and antisocial types there were significant differences between only - children and non - only children （ P 〈 0. 05 ）. （4） In scores of paranoid and narcissistic type there were significant differences between different age children （P 〈 0.05） . （5） In scores of narcissistic, avoidant, depressive, borderline, histrionic, com- pulsive, and paranoid types there were significant differences between children whose mothers had different educational levels （P 〈 0. 05 ）. Conclusion There were a certain personality disorders in Han adolescents in minority areas of southwestern frontier of China.

关 键 词：人格障碍 青少年 民族地区 人格诊断问卷 

分 类 号：R749.91[医药卫生—神经病学与精神病学]