阳性症状为主型精神分裂症和伴有精神病性症状双相障碍患者MMPI对照研究  

A study on the difference of MMPI between schizophrenia with positive symptoms and bipolar disorder, current episode manic or depression with psychotic symptoms

作　　者：钟舒明[1] 刘滔[1] 廖潇潇[1] 贾艳滨[1] 

机构地区：[1]暨南大学附属第一医院精神心理科,广州510630

出　　处：《中华临床医师杂志（电子版）》2014年第1期36-39,共4页Chinese Journal of Clinicians(Electronic Edition)

基　　金：教育部人文社会科学研究规划基金项目(13YJA19008);中央高校暨南大学高校研究(2162432)

摘　　要：目的探讨阳性症状为主型精神分裂症和伴有精神病性症状的躁狂或抑郁的双相障碍患者的个性特征,为其鉴别诊断提供线索。方法采用MMPI测试软件,评估24例精神分裂症阳性症状为主型患者(精神分裂症组)和37例伴有精神病性症状的躁狂或抑郁的双相障碍患者(双相障碍组)人格特征,分别计算临床量表10个因子分值。采用SPSS 13.0进行统计处理,比较两组患者之间的差异。结果精神分裂症阳性症状为主型男性患者的社会内向因子分高于女性患者,差异有统计学意义(t=2.186,P=0.040);双相障碍男、女性患者之间的临床量表10个因子分均未见差异。两组患者的临床量表10个因子分差异无统计学意义(P>0.05),但精神分裂症阳性症状为主型患者的精神病态、偏执性人格、精神分裂症、轻躁狂因子分高于中国常模划界的T分,双相障碍患者的偏执性人格因子分高于中国常模划界的T分,其余均低于中国常模标准。结论精神分裂症阳性症状为主型与伴精神病性症状的双相障碍患者存在人格特征改变,两组患者MMPI无明显差异,精神分裂症阳性症状为主型患者的社会内向人格可能存在性别差异。Objective To investigate the differences of personality characteristics between schizophrenia with positive symptoms and bipolar disorder, current episode manic or depression with psychotic symptoms by MMPI, which can provide clues to their differential diagnosis. Methods Twenty-four schizophrenia patients with positive symptoms and thirty-seven bipolar disorder patients, current episode manic or depression with psychotic symptoms were enrolled in this study. Subjects were tested personality with MMPI software, and then calculated the scores of ten clinical scales. All data analyses were performed using SPSS for Windows software, version 13.0, to find the differences between the two groups. Results The male schizophrenia with positive symptoms patients＆#39; social introversion（Si） score was significantly higher than female schizophrenia patients（t=2.186, P=0.040）. There was no significant difference between the genders in bipolar disorder patients. No significant differences of the clinical scales were found between the two patient groups（P〈0.05）, however, the scores of psychopathic deviate, paranoia, schizophrenia and hypomania in schizophrenia patients with positive symptoms were higher than the T score of China norm, as well as the score of paranoia in bipolar disorder patients. Conclusions Personality characteristics changes exist in both schizophrenia with positive symptoms and bipolar disorder patients when compared with China norm, there is no significant difference between the two patient groups, social introversion in schizophrenia patients with positive symptoms may have gender differences.

关 键 词：精神分裂症 双相情感障碍 

分 类 号：R749.3[医药卫生—神经病学与精神病学]