双相障碍共病强迫障碍患者的SCL-90和MMPI研究  

Study on SCL-90 and MMPI of patients with bipolar disorder comorbid OCD

作　　者：高谧秋 范学胜[1] 

机构地区：[1]中国医科大学附属第一医院,沈阳110001

出　　处：《四川精神卫生》2015年第1期7-10,共4页Sichuan Mental Health

摘　　要：目的探讨强迫障碍与双相障碍共病的心理测量学特征,为其早期诊断提供辅助依据。方法以2012年3月-2013年1月在中国医科大学附属第一医院就诊的符合《中国精神障碍分类与诊断标准(第3版)》的138例强迫障碍患者为研究对象,采用症状自评量表(SCL-90)和明尼苏达多相人格测验(MMPI)进行测量。结果转相前SCL-90评分:强迫状态(2.51±0.83)分、抑郁(2.69±0.88)分、敌对(2.56±1.07)分等项目出现明显的高峰点;转相后评分:强迫状态(2.65±1.03)分、敌对(2.60±1.30)分、偏执(2.36±0.92)分等项目出现明显的高峰点。MMPI临床量表3点编码型:转相前以2-4-7为最多,其次为2-3-4编码型;转相后以4-7-9为最多,其次为4-6-9、3-4-9编码型。结论转相前后"强迫状态"和"敌对"都呈现明显高峰点。心理变态(Pd)、精神衰弱(Pt)(4-7编码型)很有可能是与共病强迫障碍有关的参考项。Objective To find psychological traits of comorbod of Bipolar disorder and OCD for providing evidence of early diagnosis of bipolar disorder. Methods The 138 patients were diagnosed OCD by CCMD-3( Chinese Classification and Diagnostic Criteria of Mental Disease,third edition),and were assessed after and before switching with SCL-90 and MMPI and analyzed by SPSS18. 0.Results OCD symptoms( 2. 51 ± 0. 83),depression( 2. 69 ± 0. 88) and hostile( 2. 56 ± 1. 07) were significant higher before switching. OCD symptoms( 2. 65 ± 1. 03),hostile( 2. 60 ± 1. 30) and paranoid( 2. 36 ± 0. 92) were significant higher after switching. The code type of patients were 2-4-7 and 2-3-4 before switching and 4-7-9,4-6-9 and 3-4-9 after switching. Conclusion The patients with bipolar disorder comorbid OCD show higher OCD symptoms and hostile both before and after switching by SCL-90. The Pd,Pt( 4-7) was common trait of patients with bipolar disorder comorbid OCD by MMPI.

关 键 词：双相障碍 强迫障碍 MMPI SCL-90 

分 类 号：R749[医药卫生—神经病学与精神病学]