广泛性焦虑症患者的个性特征、行为模式及其可塑性研究  

A study on the plasticity of personality, behavior pattern of the patients with generalized anxiety disorder

作　　者：张亚林[1] 杨德森[1] 曹玉萍[1] 肖泽萍[2] 冯永铭 张宏根[4] 周洪祥 

机构地区：[1]中南大学湘雅二医院精神卫生研究所行为医学教研室,湖南长沙410011 [2]上海市精神卫生中心心理咨询中心,上海200030 [3]宁波康宁医院,宁波315000 [4]湖南省脑科医院神经症病室,长沙410011 [5]大庆市第三医院心理科,大庆163712

出　　处：《中国行为医学科学》2001年第5期414-415,共2页Chinese Journal of Behavioral Medical Science

基　　金：国家自然科学基金资助项目 (3 95 70 2 69)

摘　　要：目的　探讨广泛性焦虑症患者的个性特征、行为模式及其可塑性。方法　使用EPQ、A型行为问卷及SCL 90对117名广泛性焦虑症患者治疗前后的个性特征、行为模式及症状分别进行测量。结果　广泛性焦虑症患者的N、P分别为14.4± 4.5 ,7.8± 3.6 ,均显著高于常模 (P <0 .0 1) ,L分为 11.3± 3.7,显著低于常模 (P <0 .0 1) ,A型行为问卷评分为 2 8.8± 7.5分 ;治疗后SCL 90总分显著降低 (P <0 .0 1) ,N分及A型行为问卷的TH因子分显著下降 (P <0 .0 5 )。结论　广泛性焦虑症患者具有神经质和精神质倾向的个性特征和A型行为模式。有效的治疗不仅可以改善临床症状 ,亦可改善其情绪的稳定性和A型行为中的时间紧迫感 。s:Objective To investigate the plasticity of personality, behavior pattern of the patients with Generalized Anxiety Disorder(GAD).Methods 117 patients with GAD were investigated with EPQ, Type A Behavior Questionnaire(TABQ) and SCL 90 before and after treatment. Results The N, P scores were respectively 14.4±4.5,7.8±3.6,significantly higher and the L scores were 11.3±3.7,significantly lower than those of the norm by EPQ, and the total scores were 28.1±7.5 by TABQ. After improvement of anxiety symptoms, the N scores and TH scores in TABQ were significantly decreased. Conclusion It indicated that the patients with GAD tend to be neuroticism, psychoticism and type A behavior pattern, and there is room for improvement in the neuroticism and TH factor with the reduction of anxiety symptoms, but the rest characteristic of personality or behavior pattern seems relatively fixed.

关 键 词：焦虑症 个性特征 行为模式 可塑性 

分 类 号：R749.7[医药卫生—神经病学与精神病学]